NPI 1639698301
Jenna Renae Jackson, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer · Marshall, MN
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:23 am EDT
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Jenna Renae Jackson, MS, LAT, ATC is a health care provider (Specialist/Technologist, Athletic Trainer) in Marshall, Minnesota with National Provider Identifier (NPI) 1639698301. The NPI was issued on Sep 14, 2017 and the registry record was last updated on Jul 20, 2022.
Registry record
- NPI
- 1639698301
- Type
- Individual (NPI-1)
- Primary specialty
- Specialist/Technologist, Athletic Trainer 2255A2300X
- Practice location
- 1501 State St
Marshall, MN 56258-3306 - Phone
- (507) 537-6433
- NPI issued
- Sep 14, 2017
- Registry record updated
- Jul 20, 2022
- Other names
- Jenna Renae Edwards (professional name)
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.