JESSICA GAVIN ATC
NPI 1831555911
Student in an Organized Health Care Education/Training Program in Arlington, TX

Active since January 06, 2016
3205 SWEETGUM TRL APT 1823, ARLINGTON, TX 76014(330) 718-0263 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Feb 19, 2021, Jul 2, 2016 (3 updates tracked since 2016).

About Jessica Gavin Atc NPPES

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

JESSICA GAVIN ATC (NPI 1831555911) is an individual student in an organized health care education/training program in Arlington, Texas and active in the NPI registry since January 2016. She maintains a secondary practice location in Youngstown.

NPPES Registry Identity

NPI1831555911
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA GAVINCredential: ATC
Location Address3205 SWEETGUM TRL APT 1823Arlington, TX 76014-2829
Mailing Address1517 Fountain Square Dr Apt 18b13Youngstown, OH 44515-4671 · (330) 718-0263
Sole ProprietorNo
Enumeration DateJanuary 6, 2016
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
NPI 1831555911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

Secondary Practice Location 1

Location 1731 S Hazelwood AveYoungstown, OH 44509-2233 · Phone (330) 718-0263

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831555911, enumerated as an "individual" on January 06, 2016.

The provider is located at 3205 SWEETGUM TRL APT 1823 ARLINGTON, TX 76014 and the phone number is (330) 718-0263.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.