Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN JORDAN, ATC
Active Sole ProprietorAUTUMN JORDAN, ATC is a Athletic Trainer healthcare provider located in RICHBURG, South Carolina. NPI 1215586052 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · RICHBURG, SC
Registration Details
- NPI Number
- 1215586052
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2019 (6.9249998447588 yrs)
- Last Updated
- Sep 4, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
3971 LEWISVILLE HIGH SCHOOL RDRICHBURG, SC, 297299029Browse SC providers · Browse ZIP 29729
- Phone
- 8032469969
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in RICHBURG, SC
| Name | Credential | NPI |
|---|---|---|
| MISS DANA MARIE JACOBS | ATC, SCAT | 1760881346 |
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.