Individual provider · Type 1 NPI

Jessica Gavin, ATC

Student in an Organized Health Care Education/Training Program · Arlington, TX

NPI number 1831555911 Active

Practice location

3205 Sweetgum Trl Apt 1823
Arlington, TX 76014-2829

Mailing address

1517 Fountain Square Dr Apt 18B13
Youngstown, OH 44515-4671

Other practice locations

  • 731 S Hazelwood Ave, Youngstown, OH 44509-2233 · (330) 718-0263

Specialties and licenses

TaxonomyCodeLicense
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 1831555911

Jessica Gavin, ATC's National Provider Identifier is 1831555911, issued on Jan 6, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arlington, TX. The record was last updated on Sep 11, 2025.