Individual
MR. JASON MICHAEL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSE, ATC, LAT
Contact information
Practice address
4400 COLLEGE DR, VERNON, TX 76384-4005
(940) 552-6291
(940) 552-9229
Mailing address
4400 COLLEGE DR, VERNON, TX 76384-4005
(940) 552-6291
(940) 552-0073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
166
NE
2255A2300X
Athletic Trainer
Primary
AT3797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT3797
STATE LICENSE
TX
Enumeration date
06/27/2006
Last updated
01/14/2025
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