Jacquelyn M Hephner, M.ED, LAT, ATC
NPI #1104218106 in Youngsville, North Carolina
Provider Information
- NPI Number
- 1104218106
- Entity Type
- Individual
- Name
- Jacquelyn M Hephner, M.ED, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- M.ED, LAT, ATC
- Enumeration Date
- Feb 27, 2015
- Last Updated
- Feb 27, 2015
Practice Location
- Address
- 104 RICHLAND DR
- City
- Youngsville
- State
- North Carolina
- ZIP Code
- 27596-9274
- Phone
- (937) 654-1414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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