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Contact Information

JUSTINE NUCKOLS, ATC
G644 IVY HALL RM 134 6TH ST.
JACKSONVILLE, NC28542
 Phone: 910-449-0276
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JUSTINE NUCKOLS · (Female)

NPI # 1952136780
Status Active
Credentials ATC
Entity Individual
Enumeration date 09/03/2024
Last updated 09/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # LAT-5115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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