JACK FENNER
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1205629672
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 012122580 (LA) |
Frequently Asked Questions
NPI 1205629672 is the National Provider Identifier for JACK FENNER, a Specialist/Technologist - Athletic Trainer provider located in Shreveport, LA. This NPI was enumerated on May 27, 2025.
JACK FENNER practices at 427 PRESTONWOOD DR, Shreveport, LA 71115.
Quick Facts
- NPI
- 1205629672
- Type
- Individual
- Enumerated
- May 27, 2025
- Last Updated
- May 27, 2025
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