Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Jennifer Loraine Lister, MSED, ATC, L

Individual provider Specialist · NPI 1124242474

Mrs. Jennifer Loraine Lister, MSED, ATC, L is a Specialist in New York, New York. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

523 E 72nd St
New York, NY 10021-4099
Phone: (646) 797-8232
Fax: (646) 797-8239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Caldwell Fieldhouse, Princeton, NJ 08544-0001 — (609) 258-3527

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MT00135000 (NJ)

Record details

NPI number1124242474
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , ATC , L
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

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