Individual
JENA N QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2-5818 BUTNER RD, FORT BRAGG, NC 28310-2491
(779) 225-0992
Mailing address
241 TORMORE DR, SANFORD, NC 27330-7118
(779) 225-0992
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096004637
IL
2255A2300X
Athletic Trainer
Primary
LAT-5474
NC
Other
Enumeration date
08/03/2016
Last updated
11/05/2025
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