Mikaela Jackson
Mikaela Jackson is a Student in an Organized Health Care Education/Training Program in Abilene, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
500 N Judge Ely Blvd Apt 8-102Abilene, TX 79601-6530
Phone: (251) 623-0646
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1487234738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 12, 2021 |
| Last updated in NPPES | April 12, 2021 |
| Certification date | April 12, 2021 |
| Mailing address | 500 N Judge Ely Blvd Apt 8-102, Abilene, TX 79601-6530 |
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