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

Mrs. Jamie Marie Derollo, MBA, ATC

Individual provider Athletic Trainer · NPI 1558764274

Mrs. Jamie Marie Derollo, MBA, ATC is an Athletic Trainer in Stockton, California. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5151 Pacific Ave
Stockton, CA 95207-6304
Phone: (209) 954-5181
Fax: (209) 954-5696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1558764274
Entity typeIndividual (Type 1)
GenderFemale
Credentials MBA , ATC
Sole proprietorNo
NPI enumeratedOctober 8, 2014
Last updated in NPPESOctober 8, 2014

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