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

Jillian Ann Hacker, ATC

Individual provider Athletic Trainer · NPI 1962989640

Jillian Ann Hacker, ATC is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
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

3946 Ice Way
Fort Wayne, IN 46805-1018
Phone: (260) 444-2788
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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 36003377A (IN)

Record details

NPI number1962989640
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 25, 2018
Last updated in NPPESSeptember 3, 2020
Certification dateAugust 22, 2020
Mailing address8813 Gulf Dr Apt B, Fort Wayne, IN 46825-3092

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