Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CHERYL R JACKSON, M. S., A.T., C.
Active Sole ProprietorMS. CHERYL R JACKSON, M. S., A.T., C. is a Athletic Trainer healthcare provider located in CROSS LANES, West Virginia. NPI 1548478217 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CROSS LANES, WV
Registration Details
- NPI Number
- 1548478217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2007 (19.20963130683 yrs)
- Last Updated
- Jul 8, 2007
- License
-
F127164 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5243 DALEWOOD DRCROSS LANES, WV, 253131748Browse WV providers · Browse ZIP 25313
- Phone
- 3047766220
- 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.