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John Jackson
NPI 1609482702 · on the registry since 2020
Practice
- Address
- 350 New Campus Dr
Brockport, NY 14420 - Phone
- (585) 395-5374
- Organisation at this address
- State University Of New York College At Brockport
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York