Individual
MS. JODI MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2500 CAMPUS BOX, ELON UNIVERSITY AT DEPARTMENT, ELON, NC 27244
(336) 278-6800
(336) 278-6767
Mailing address
2500 CAMPUS BOX, ELON UNIVERSITY AT DEPARTMENT, ELON, NC 27244-2952
(336) 278-6800
(336) 278-6767
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
NC1250
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC1250
STATE LICENSE
NC
Enumeration date
09/26/2008
Last updated
09/26/2008
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