Jonathan Wilson, MAED, ATC, LAT, CSCS

Athletic Trainer · Jackson, TN

Individual Active NPI

NPI number 1023668019

Practice location

1050 Union University Dr # 1811
Jackson, TN 38305-3656
Phone
(731) 661-5307

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NPI record

NPI
1023668019
Entity type
Individual (Type 1)
Enumeration date
September 12, 2019
Last updated
September 12, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1999 TN

About Jonathan Wilson

Jonathan Wilson, MAED, ATC, LAT, CSCS is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1050 Union University Dr # 1811, Jackson, TN 38305-3656. The NPI number 1023668019 was assigned on September 12, 2019 and the record was last updated on September 12, 2019.

Jonathan Wilson lists a license in the registry: #1999 (TN) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Wilson, MAED, ATC, LAT, CSCS?

The NPI number is 1023668019.

What is the phone number of Jonathan Wilson?

The phone number listed for the practice location is (731) 661-5307.

Where is Jonathan Wilson located?

1050 Union University Dr # 1811, Jackson, TN 38305-3656.

What is the taxonomy code for Jonathan Wilson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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