NPI Index

MRS. JACQUELINE IANNICCA, MSED, ATC, CSCS

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1134237811

Practice Address

601 CHILDRENS LN
SPORTS & ADOLESCENT MEDICINE
Norfolk, VA 23507

Phone: (757) 668-7850

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 0126000528 (VA)

Frequently Asked Questions

NPI 1134237811 is the National Provider Identifier for MRS. JACQUELINE IANNICCA, MSED, ATC, CSCS, a Specialist/Technologist - Athletic Trainer provider located in Norfolk, VA. This NPI was enumerated on August 25, 2006.
MRS. JACQUELINE IANNICCA, MSED, ATC, CSCS practices at 601 CHILDRENS LN, SPORTS & ADOLESCENT MEDICINE, Norfolk, VA 23507.

Quick Facts

NPI
1134237811
Type
Individual
Enumerated
Aug 25, 2006
Last Updated
Aug 6, 2014

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