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

Individual provider Athletic Trainer · NPI 1033533922

Mrs. Jacqueline Diane Ross, ATC is an Athletic Trainer in Little Rock, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2014
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

12509 Pleasant Forest Dr
Little Rock, AR 72212-2214
Phone: (479) 200-0417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT 604 (AR)

Record details

NPI number1033533922
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedFebruary 12, 2014
Last updated in NPPESFebruary 12, 2014

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