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

Jackson Wade McQueen, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780341032

Jackson Wade McQueen, ATC is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3300 W Camelback Rd # A21367
Phoenix, AZ 85017-3030
Phone: (325) 977-1914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 Mountain View Pkwy, Dallas, TX 75211 — (210) 333-7100

Specialties & licences

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

Record details

NPI number1780341032
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedNovember 22, 2021
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 3, 2023

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