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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN REID JOHNSON, MS, LAT, ATC

Active

JORDAN REID JOHNSON, MS, LAT, ATC is a Athletic Trainer healthcare provider located in BANNER ELK, North Carolina. NPI 1174034938 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BANNER ELK, NC

Registration Details

NPI Number
1174034938
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2017 (8.7825761721748 yrs)
Last Updated
Oct 19, 2017
License
3602 (NC)

Practice Information

Address
191 MAIN ST
BANNER ELK, NC, 286049626
Browse NC providers · Browse ZIP 28604
Phone
8288988892
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BANNER ELK, NC

Name Credential NPI
MRS. ARIANNE MARIE DAVIS LAT, ATC 1962477620
JESSICA PRETTY 1205242401
MR. LUCAS CARSON MS, LAT, ATC, CPT 1851793145
BETHANY SEMAN 1538835541
THOMAS PHILMORE DELLINGER IV 1114725413
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.