Jessica Dwan Peters in Jacksonville - Athletic Trainer
Jessica Dwan Peters - NPI 1750567657
Jessica Dwan Peters is a Athletic Trainer in Jacksonville, Florida. Jessica Dwan Peters practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Jessica Dwan Peters is 1750567657. The last update date is 2008-01-10.
Jessica Dwan Peters's current location address is 2800 University Blvd N, Jacksonville, Florida. You can contact this provider via phone number 9042567678 and fax number 9042567424. The mailing address for Jessica Dwan Peters is 2800 University Blvd N, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Dwan Peters |
|---|---|
| Address | 2800 University Blvd N, Jacksonville, Florida |
| Phone Number | 9042567678 |
| Fax Number | 9042567424 |
| Sole Proprietor | N |
| Credentials | MS, ATC, L |
NPI Number Detail
| NPI Number | 1750567657 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
| Address | 2800 University Blvd N |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322113321 |
| Phone Number | 9042567678 |
| Fax Number | 9042567424 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AL2042 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the Jessica Dwan Peters's 1750567657?
The Jessica Dwan Peters's NPI (National Provider Identifier) Number is 1750567657. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jessica Dwan Peters is physically located?
The Jessica Dwan Peters is physically situated at the following address: 2800 University Blvd N, Jacksonville, FL, 322113321.
What is the Jessica Dwan Peters's specialty and taxonomy code?
The Jessica Dwan Peters's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750567657 to Jessica Dwan Peters?
The Jessica Dwan Peters received its 1750567657 assignment from the Centers for Medicare & Medicaid Services on 2008-01-10.
When was the information pertaining to Jessica Dwan Peters most recently updated or revised?
The details related to Jessica Dwan Peters, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-10.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY