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

Heather Nicole Jacques

Individual provider Athletic Trainer · NPI 1053825810

Heather Nicole Jacques is an Athletic Trainer in Fife Lake, Michigan. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

10560 Hager Rd
Fife Lake, MI 49633-9312
Phone: (231) 735-3067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1053825810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2017
Last updated in NPPESNovember 30, 2017
Mailing address10560 Hager Rd, Fife Lake, MI 49633-9312