Individual
JACKELYN KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
180 WADE STEWART CIRCLE, LILLINGTON, NC 27546-0010
(910) 814-5455
(910) 893-1990
Mailing address
PO BOX 10, BUIES CREEK, NC 27506-0010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1306
NC
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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