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SHANICKWA JACKSON
NPI 1326560319
Specialist/Technologist - Athletic Trainer in Hattiesburg, MS

Active since July 11, 2017
7 LAKEWOOD DR, HATTIESBURG, MS 39402(985) 237-2994 Get Directions Write a Review

NPPES record last updated: July 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanickwa Jackson NPPES

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

SHANICKWA JACKSON (NPI 1326560319) is an individual athletic trainer provider in Hattiesburg, Mississippi, licensed in Mississippi (AT0857) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1326560319
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSHANICKWA JACKSON
Location Address7 LAKEWOOD DRHattiesburg, MS 39402-9425
Mailing Address7 Lakewood DrHattiesburg, MS 39402-9425
Phone(985) 237-2994
Sole ProprietorNo
Enumeration DateJuly 11, 2017
✔ NPI 1326560319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MS · AT0857
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
7 LAKEWOOD DR, Hattiesburg, MS 39402
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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 Shanickwa Jackson's NPI number?

The NPI number for Shanickwa Jackson is 1326560319. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Shanickwa Jackson located?

Shanickwa Jackson practices at 7 Lakewood Dr, Hattiesburg, MS 39402. The listed phone number is (985) 237-2994.

What is Shanickwa Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Shanickwa Jackson was last updated on July 11, 2017. 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.