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

Mrs. Danetta Michelle Ennis, MS, ATC, LAT

Individual provider Athletic Trainer · NPI 1649707779

Mrs. Danetta Michelle Ennis, MS, ATC, LAT is an Athletic Trainer in Jonesboro, Arkansas. Licensed in Arkansas. Registered with an NPI since 2017.

Licensed in
AR
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

1416 E Matthews Ave Ste 200
Jonesboro, AR 72401-4362
Phone: (870) 932-1820
Fax: (870) 972-6712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (AR)

Record details

NPI number1649707779
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC , LAT
Sole proprietorNo
NPI enumeratedMay 19, 2017
Last updated in NPPESJuly 21, 2022

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