Russell Emanuel Jackson AT

  • NPI 1932622867
According to our database, the NPI number for Russell Emanuel Jackson AT is 1932622867 and activated since 6 years ago. Russell Emanuel Jackson AT is an individual provider who specializes in Athletic Trainer, and the primary practice location is 406 Sheridan Forest Rd, Goldsboro, NC 27534. You can also contact Russell Emanuel Jackson AT via telephone number is (419) 215-8888. Provider NPI information was last updated on 08/03/2021.

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Overview of Russell Emanuel Jackson AT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/23/2017
  • Last updated: 08/03/2021

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: AT0005240
  • License State: OH

Provider Mailing Address

  • Address: 406 Sheridan Forest Rd
    Goldsboro, NC 27534
  • Phone: 419-215-8888
  • Fax:

Provider Practice Location

  • Address: 406 Sheridan Forest Rd
    Goldsboro, NC 27534
  • Phone: 419-215-8888
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: AT0005240
  • License State: OH
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Russell Emanuel Jackson AT?
  • A: The npi number for Russell Emanuel Jackson AT is 1932622867.
  • Q: What are Russell Emanuel Jackson AT's specialties?
  • A: Russell Emanuel Jackson AT's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Russell Emanuel Jackson AT?
  • A: The medical license number for Russell Emanuel Jackson AT is AT0005240 and issued in OH in USA.
  • Q: Where is Russell Emanuel Jackson AT practice location?
  • A: Russell Emanuel Jackson AT is practicing at 406 Sheridan Forest Rd, Goldsboro, NC 27534.
  • Q: How to contact Russell Emanuel Jackson AT?
  • A: You can contact Russell Emanuel Jackson AT via 419-215-8888.