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

Jessica Dutton, ATC

Individual provider Athletic Trainer · NPI 1972905495

Jessica Dutton, ATC is an Athletic Trainer in White Bear Lake, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014
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

5 Birchwood Ave
White Bear Lake, MN 55110-1604
Phone: (651) 249-3622
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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 2505 (MN)

Record details

NPI number1972905495
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedSeptember 17, 2014
Last updated in NPPESSeptember 17, 2014
Mailing address5 Birchwood Ave, White Bear Lake, MN 55110-1604

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