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

John Leonard Jackson

Individual provider Athletic Trainer · NPI 1609482702

John Leonard Jackson is an Athletic Trainer in Brockport, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

350 New Campus Dr
Brockport, NY 14420-2997
Phone: (585) 395-5374
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 000254 (NY)

Record details

NPI number1609482702
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020
Mailing address350 New Campus Dr, Brockport, NY 14420-2997

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