Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christiana Marie Jackson, AT

Individual provider Athletic Trainer · NPI 1396392684

Christiana Marie Jackson, AT is an Athletic Trainer in Corning, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2019
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Practice location Address checks out

10397 State Route 155 SE
Corning, OH 43730-9710
Phone: (740) 394-2426
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2782968 (OH)

Record details

NPI number1396392684
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT
Sole proprietorYes
NPI enumeratedAugust 21, 2019
Last updated in NPPESAugust 21, 2019