Individual provider · Type 1 NPI

Gerald Allen Stevens, ATC, LAT

Athletic Trainer · Jacksonville, FL

NPI number 1720069065 Active

Practice location

11945 San Jose Blvd, Suite 202
Jacksonville, FL 32223-1613

Call (904) 880-2424 Map

Fax (904) 880-2420

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300XAL 428 (FL)

Athletic Trainer: 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 advanc…

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About NPI 1720069065

Gerald Allen Stevens, ATC, LAT's National Provider Identifier is 1720069065, issued on Nov 11, 2005. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2026.