Mrs. Jennifer Concannon, DAT, LAT, ATC
Specialist/Technologist, Athletic Trainer in Weymouth, Massachusetts
1396253753- Practice location
- 65 Wilson Ave, Weymouth, MA 02188-3623
- Phone
- 978-273-3620
- Fax
- —
- Last updated
- December 27, 2021
Jennifer Concannon is a Specialist/Technologist, Athletic Trainer based in Weymouth, MA. Jennifer Concannon practices in Weymouth, MA and has the professional credentials of DAT, LAT, ATC. The NPI Number for Jennifer Concannon is 1396253753 and holds a License No. 2448 (MA). The current practice location address for Jennifer Concannon is 65 Wilson Ave, Weymouth, MA 02188-3623 and can be reached out via phone at 978-273-3620.
Provider Profile Details
- NPI Number
- 1396253753
- Provider Name
- Jennifer Concannon
- Credential
- DAT, LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 65 Wilson Ave, Weymouth, MA 02188-3623
- Phone Number
- 978-273-3620
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 18, 2018
- Last Update Date
- December 27, 2021
- Certification Date
- December 27, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Wilson Ave
Weymouth, MA 02188-3623 - City
- Weymouth
- State
- Massachusetts
- Zip
- 02188-3623
- Phone Number
- 978-273-3620
Provider Business Mailing Address Details
- Address
- 65 Wilson Ave
Weymouth, MA 02188-3623 - City
- Weymouth
- State
- MA
- Zip
- 02188-3623
- Phone Number
- 978-273-3620
License Information
- License Number (1)
- 2448
- License State (1)
- MA
- Taxonomy (1)
- Emergency Medicine, Sports Medicine · 207PS0010X
- License Number (2)
- 2448
- License State (2)
- MA
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jennifer Concannon, DAT, LAT, ATC?
The NPI number of Mrs. Jennifer Concannon, DAT, LAT, ATC is 1396253753. It was assigned on January 18, 2018 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jennifer Concannon, DAT, LAT, ATC?
Mrs. Jennifer Concannon, DAT, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2448.
Where does Mrs. Jennifer Concannon, DAT, LAT, ATC practice?
The practice location is 65 Wilson Ave, Weymouth, MA 02188-3623. The office can be reached at 978-273-3620 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396253753 directly on the NPPES registry website.