Jacqueline Rose Iannicca in Norfolk - Athletic Trainer

Jacqueline Rose Iannicca - NPI 1134237811

Jacqueline Rose Iannicca is a Athletic Trainer in Norfolk, Virginia. Jacqueline Rose Iannicca practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Jacqueline Rose Iannicca is 1134237811. The last update date is 2014-08-06.

Jacqueline Rose Iannicca's current location address is 601 Childrens Ln, Norfolk, Virginia. You can contact this provider via phone number 7576687850. The mailing address for Jacqueline Rose Iannicca is 601 Childrens Ln, Norfolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline Rose Iannicca
Address 601 Childrens Ln, Norfolk, Virginia
Phone Number 7576687850
Fax Number
Sole Proprietor N
Credentials MSED, ATC,

NPI Number Detail

NPI Number 1134237811
Provider Enumeration Date 2006-08-25
Last Updated Date 2014-08-06

Provider Mailing Address Detail

Address 601 Childrens Ln
City Norfolk
State Virginia (VA)
Post Code 235071910
Phone Number 7576687850
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 126000528
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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FAQs about Jacqueline Rose Iannicca

What is the unique provider identifier assigned to Jacqueline Rose Iannicca?

The Jacqueline Rose Iannicca has been issued the NPI (National Provider Identifier) 1134237811 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Jacqueline Rose Iannicca's physical address?

The Jacqueline Rose Iannicca is physically located at 601 Childrens Ln, in the city of Norfolk, VA, with the postal code 235071910.

What is the Jacqueline Rose Iannicca's specialty and taxonomy code?

The Jacqueline Rose Iannicca's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.

When was the Jacqueline Rose Iannicca's 1134237811 issued?

The Jacqueline Rose Iannicca's 1134237811 was issued on 2006-08-25.

When was the information regarding Jacqueline Rose Iannicca, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jacqueline Rose Iannicca, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-08-06.

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