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

Mrs. Jacqueline Kennedy Millward, MHS, LAT, ATC

Individual provider Athletic Trainer · NPI 1962789859

Mrs. Jacqueline Kennedy Millward, MHS, LAT, ATC is an Athletic Trainer in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1991 Fordham Dr Ste 100
Fayetteville, NC 28304-3774
Phone: (910) 484-3114
Fax: (910) 484-8824
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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 1717 (NC)

Record details

NPI number1962789859
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHS , LAT , ATC
Sole proprietorNo
NPI enumeratedNovember 7, 2011
Last updated in NPPESMarch 26, 2015

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