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MICHAELA L JACKSON A.T.C
NPI 1154873057
Student in an Organized Health Care Education/Training Program in Clinton, SC

Active since October 27, 2016
105 ASHLAND AVE, CLINTON, SC 29325(864) 833-7098 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michaela L Jackson A.t.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAELA L JACKSON A.T.C (NPI 1154873057) is an individual student in an organized health care education/training program in Clinton, South Carolina and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1154873057
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHAELA L JACKSONCredential: A.T.C
Location Address105 ASHLAND AVEClinton, SC 29325-2960
Mailing Address3201 Woodhaven Ct SwConyers, GA 30094-3951 · (770) 375-7665
Phone(864) 833-7098
Sole ProprietorYes
Enumeration DateOctober 27, 2016
✔ NPI 1154873057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
105 ASHLAND AVE, Clinton, SC 29325
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN MARIE DODGE
Specialist/Technologist (Athletic Trainer)
105 ASHLAND AVE
CLINTON, SC 29325
Laurens County (864) 347-5707
NELSON JONES
Specialist/Technologist (Athletic Trainer)
105 ASHLAND AVE
CLINTON, SC 29325
Laurens County (864) 833-7097
DANIELLE REBECCA HEIDT MS, ATC, SCAT
Specialist/Technologist (Athletic Trainer)
105 ASHLAND AVE
CLINTON, SC 29325
Laurens County (864) 541-4690
TARA SHELLEY ATC
Specialist/Technologist (Athletic Trainer)
105 ASHLAND AVE
CLINTON, SC 29325
Laurens County (864) 200-0636
SARAH HORAN MSAT
Specialist/Technologist (Athletic Trainer)
105 ASHLAND AVE
CLINTON, SC 29325
Laurens County (864) 938-5366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michaela Jackson's NPI number?

The NPI number for Michaela Jackson is 1154873057. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Michaela Jackson located?

Michaela Jackson practices at 105 Ashland Ave, Clinton, SC 29325. The listed phone number is (864) 833-7098.

What is Michaela Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michaela Jackson was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.