Jackson, Jenna Renae

Jackson, Jenna Renae is an individual health care provider with primary practice located at 1501 State St , Marshall MN 56258-3306. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Jackson, Jenna Renae can be contacted via phone (507) 537-6433.

Contact Information

Primary practice address
1501 State St Marshall MN 56258-3306
Phone: (507) 537-6433
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1639698301
LBN Legal business name Jackson, Jenna Renae
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2017
Last updated Jul 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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