Individual
JENNA K HERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-2727
Mailing address
8317 VICTORY ST, ROWLETT, TX 75089-9149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000037209
BOARD OF CERTIFICATION
—
Enumeration date
08/02/2019
Last updated
08/02/2019
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