Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE DANIELLE JACKSON, MS, ATC, CSCS
Active Sole ProprietorNICOLE DANIELLE JACKSON, MS, ATC, CSCS is a Athletic Trainer healthcare provider located in LACEY, Washington. NPI 1255592754 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LACEY, WA
Registration Details
- NPI Number
- 1255592754
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2008 (18.122747129415 yrs)
- Last Updated
- Jun 18, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
5300 PACIFIC AVE SELACEY, WA, 985037500Browse WA providers · Browse ZIP 98503
- Phone
- 3604384536
- Fax
- 3604384568
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. DANA K ROBERTS | M.S., A.T.C. | 1144250408 |
| MS. ALICE RENEE LOEBSACK | ATC, CSCS | 1598806788 |
| MR. WILLIAM V SLOSSON | ATC | 1477673978 |
| RACHEL LYNNE SHERBURNE | MS, ATC, LAT | 1457622391 |
| STEPHANIE RENEE HJORTEDAL | — | 1184048688 |
| RACHEL MONTGOMERY | ATC | 1467986125 |
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.