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

Jack Robert Nelson

Individual provider Athletic Trainer · NPI 1083573950

Jack Robert Nelson is an Athletic Trainer in Canton, Missouri. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1 College Hl
Canton, MO 63435-1299
Phone: (573) 288-6000
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1083573950
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 16, 2026
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address501 Washington St, Canton, MO 63435-1578

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