Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTIANA MARIE JACKSON, AT
Active Sole ProprietorCHRISTIANA MARIE JACKSON, AT is a Athletic Trainer healthcare provider located in CORNING, Ohio. NPI 1396392684 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CORNING, OH
Registration Details
- NPI Number
- 1396392684
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2019 (6.960989475059 yrs)
- Last Updated
- Aug 21, 2019
- License
-
2782968 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10397 STATE ROUTE 155 SECORNING, OH, 437309710Browse OH providers · Browse ZIP 43730
- Phone
- 7403942426
- 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.