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RUSSELL EMANUEL JACKSON AT
NPI 1932622867
Specialist/Technologist - Athletic Trainer in Goldsboro, NC

Active since July 23, 2017
406 SHERIDAN FOREST RD, GOLDSBORO, NC 27534(419) 215-8888 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2021, Jul 23, 2017 (2 updates tracked since 2017).

About Russell Emanuel Jackson At NPPES

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

RUSSELL EMANUEL JACKSON AT (NPI 1932622867) is an individual athletic trainer provider in Goldsboro, North Carolina, licensed in Ohio (AT0005240) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1932622867
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameRUSSELL EMANUEL JACKSONCredential: AT
Location Address406 SHERIDAN FOREST RDGoldsboro, NC 27534-7103
Mailing Address406 Sheridan Forest RdGoldsboro, NC 27534-7103 · (419) 215-8888
Phone(419) 215-8888
Sole ProprietorNo
Enumeration DateJuly 23, 2017
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1932622867 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 OH · AT0005240
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.
406 SHERIDAN FOREST RD, Goldsboro, NC 27534
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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 Russell Jackson's NPI number?

The NPI number for Russell Jackson is 1932622867. It was assigned to this individual provider in the NPPES registry on July 23, 2017.

Where is Russell Jackson located?

Russell Jackson practices at 406 Sheridan Forest Rd, Goldsboro, NC 27534. The listed phone number is (419) 215-8888.

What is Russell 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 Russell Jackson was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.