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

Laura Permelia Jackson, MSED, ATC, LAT

Individual provider Athletic Trainer · NPI 1497208987

Laura Permelia Jackson, MSED, ATC, LAT is an Athletic Trainer in Southern Pines, North Carolina. Practices as a sole proprietor. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3300 Airport Rd
Southern Pines, NC 28387
Phone: (910) 692-6920
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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 AL3704 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence 002200 (NY)

Record details

NPI number1497208987
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , ATC , LAT
Sole proprietorYes
NPI enumeratedAugust 1, 2016
Last updated in NPPESAugust 1, 2016

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