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

Mr. Aeneas Jordan Jackson

Individual provider Athletic Trainer · NPI 1336096080

Mr. Aeneas Jordan Jackson is an Athletic Trainer in Chattanooga, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

3905 Kemp Cir
Chattanooga, TN 37411-2913
Phone: (423) 475-9557
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1336096080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address3905 Kemp Cir, Chattanooga, TN 37411-2913

Other providers in Chattanooga