Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn M Hephner, MED, LAT, ATC

Individual provider Athletic Trainer · NPI 1104218106

Jacquelyn M Hephner, MED, LAT, ATC is an Athletic Trainer in Youngsville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

104 Richland Dr
Youngsville, NC 27596-9274
Phone: (937) 654-1414
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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 1980 (NC)

Record details

NPI number1104218106
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LAT , ATC
Sole proprietorYes
NPI enumeratedFebruary 27, 2015
Last updated in NPPESFebruary 27, 2015