Individual
JESSICA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
27300 BRUSSO FRANKLIN RD, HILLIARD, FL 32046-5237
(919) 478-6651
Mailing address
27300 BRUSSO FRANKLIN RD, HILLIARD, FL 32046-5237
(919) 478-6651
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6386
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
08/17/2021
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