Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Nicole Jacques

Individual provider Athletic Trainer · NPI 1053825810

Heather Nicole Jacques is an Athletic Trainer in Fife Lake, Michigan. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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Practice location Address checks out

10560 Hager Rd
Fife Lake, MI 49633-9312
Phone: (231) 735-3067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1053825810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2017
Last updated in NPPESNovember 30, 2017