Individual
JENNIFER NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
151 RIBAULT ST STE 200, SPARTANBURG, SC 29302-2630
(646) 996-3138
Mailing address
608 N BROWN BEAVER CT, MOORE, SC 29369-9296
(646) 996-3138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1642
SC
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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