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

JOSHUA DARNELL JACKSON, LAT, ATC

Active Sole Proprietor

JOSHUA DARNELL JACKSON, LAT, ATC is a Athletic Trainer healthcare provider located in BATON ROUGE, Louisiana. NPI 1861943961 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BATON ROUGE, LA

Registration Details

NPI Number
1861943961
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2016 (9.7707327953688 yrs)
Last Updated
Oct 24, 2016
License
301245 (LA)
Sole Proprietor
Yes

Practice Information

Address
801 HARDING BLVD
BATON ROUGE, LA, 708075326
Browse LA providers · Browse ZIP 70807
Phone
8173129960
Fax
2257714221
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BATON ROUGE, LA

Name Credential NPI
MR. RALPH RAY CASTLE ATC, LAT 1477540979
MS. ANNA LOUSIE ROETKER ATC 1043277320
MISS JESSICA MARIE SANCHES M.S., ATC 1952368235
MELISSA DEEN THOMPSON ATC 1013953355
MR. KEITH ERIC THOMPSON ATC, CSCS 1972534675
MR. MATTHEW DEAN SMITH ATC 1538189790
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.