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

MS. Jillian M Wilson, LAT, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073111225

MS. Jillian M Wilson, LAT, ATC is a Student in an Organized Health Care Education/Training Program in Glen Burnie, Maryland. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413
Phone: (410) 768-5050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073111225
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedOctober 10, 2020
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

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