Individual provider · Type 1 NPI

Jessica Christine Lane, ATC

Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI number 1497258677 Active

Practice location

263 Alden St
Springfield, MA 01109-3707

Call (412) 748-3000 Map

Mailing address

81 Samoset Ave
North Haven, CT 06473-2625

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X3486 (MA)
Athletic Trainer 2255A2300X1553 (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1497258677

Jessica Christine Lane, ATC's National Provider Identifier is 1497258677, issued on Mar 14, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MA. The record was last updated on Jan 26, 2021.