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

Jacklyn Sue Bascomb-Harrison, MS, ATC

Individual provider Athletic Trainer · NPI 1164935367

Jacklyn Sue Bascomb-Harrison, MS, ATC is an Athletic Trainer in College Station, Texas. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

400 Bizzell St
College Station, TX 77843-0002
Phone: (979) 458-0257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1164935367
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedNovember 9, 2017
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address984 Rice Dr, Bryan, TX 77803-1867

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