Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE ROSE IANNICCA, MSED, ATC, CSCS
ActiveMRS. JACQUELINE ROSE IANNICCA, MSED, ATC, CSCS is a Athletic Trainer healthcare provider located in NORFOLK, Virginia. NPI 1134237811 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NORFOLK, VA
Registration Details
- NPI Number
- 1134237811
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2006 (19.787239367654 yrs)
- Last Updated
- Aug 6, 2014
- License
-
0126000528 (VA)
Practice Information
- Address
-
601 CHILDRENS LNSPORTS & ADOLESCENT MEDICINENORFOLK, VA, 235071910Browse VA providers · Browse ZIP 23507
- Phone
- 7576687850
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NORFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| MR. JONATHAN WILLIAMS | MS, VATL, ATC, CSCS | 1346205762 |
| MR. MICHAEL HUTCHINSON CALL | M.S.,ATC,CSCS | 1104984079 |
| MR. JASON CHRISTOPHER MITCHELL | MSED, ATC, V, ATL | 1689792798 |
| MR. KEVIN STUART BENDER | ATC | 1770605875 |
| MR. ROBERT ERNEST LIEBAU | VATL, ATC | 1598986168 |
| JESSICA CYNTHIA MARTINEZ | ATC | 1588864243 |
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.