Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN M HEPHNER, M.ED, LAT, ATC
Active Sole ProprietorJACQUELYN M HEPHNER, M.ED, LAT, ATC is a Athletic Trainer healthcare provider located in YOUNGSVILLE, North Carolina. NPI 1104218106 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · YOUNGSVILLE, NC
Registration Details
- NPI Number
- 1104218106
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2015 (11.49455586434 yrs)
- Last Updated
- Feb 27, 2015
- License
-
1980 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 RICHLAND DRYOUNGSVILLE, NC, 275969274Browse NC providers · Browse ZIP 27596
- Phone
- 9376541414
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.