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

Michaela L Jackson, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154873057

Michaela L Jackson, ATC is a Student in an Organized Health Care Education/Training Program in Clinton, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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

105 Ashland Ave
Clinton, SC 29325-2960
Phone: (864) 833-7098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154873057
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016
Mailing address3201 Woodhaven Ct Sw, Conyers, GA 30094-3951

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