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

Mr. Jordan Lane

Individual provider Athletic Trainer · NPI 1811443997

Mr. Jordan Lane is an Athletic Trainer in North Charleston, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

8747 Alexandria Dr
North Charleston, SC 29420-7815
Phone: (843) 751-7449
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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 (SC)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811443997
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2016
Last updated in NPPESAugust 29, 2016

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