Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA NICOLE WHITEHEAD, LAT, ATC
Active Sole ProprietorJESSICA NICOLE WHITEHEAD, LAT, ATC is a Athletic Trainer healthcare provider located in FALLSTON, Maryland. NPI 1972957959 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FALLSTON, MD
Registration Details
- NPI Number
- 1972957959
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2016 (10.291002823751 yrs)
- Last Updated
- Mar 9, 2021
- License
-
A0001012 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2315 BEL AIR RDFALLSTON, MD, 210472740Browse MD providers · Browse ZIP 21047
- Phone
- 4434172499
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in FALLSTON, MD
| Name | Credential | NPI |
|---|---|---|
| JENNIFER GORDON | ATC | 1437112034 |
| CHELSEA KLEIN | ATC | 1659807436 |
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.