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

Jewelle Ruth Jacklen, ATC

Individual provider Athletic Trainer · NPI 1487496402

Jewelle Ruth Jacklen, ATC is an Athletic Trainer in Coon Rapids, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
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

11860 Zea St NW Apt 306
Coon Rapids, MN 55433-6838
Phone: (763) 218-5332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3542 (MN)

Record details

NPI number1487496402
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 10, 2024
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024

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