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

Jennifier R Johnsrud, ATC

Individual provider Athletic Trainer · NPI 1558448373

Jennifier R Johnsrud, ATC is an Athletic Trainer in Fargo, North Dakota. Licensed in Minnesota and North Dakota. Registered with an NPI since 2006.

Licensed in
MN, ND
In the registry since
2006
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

2400 32nd Ave S Sports Medicine
Fargo, ND 58122-0001
Phone: (701) 234-7911
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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 310-06 (ND)
Athletic Trainer Taxonomy 2255A2300X · Licence 1899 (MN)

Record details

NPI number1558448373
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3026 34th St S, Moorhead, MN 56560-6937

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