Jack Sutton Fenner
Jack Sutton Fenner is an Athletic Trainer in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2025
Practice location Address checks out
427 Prestonwood DrShreveport, LA 71115-3723
Phone: (318) 344-3686
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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 012122580 (LA) |
|---|
Record details
| NPI number | 1205629672 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2025 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
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