Jena N Queen, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-5474 Issued in NC

Practice address

2-5818 Butner Rd
Fort Bragg, NC 28310-2491

Phone

(779) 225-0992

NPI assigned

Aug 3, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1902359268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 TORMORE DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307118",
            "telephone_number": "779-225-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-5818 BUTNER RD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283102491",
            "telephone_number": "779-225-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "JENA",
        "middle_name": "N",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-5474",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096004637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Spencer Purdham, RN, CRNA
• Rishi Purohit, DMD
• Krystal L Pusser, OD
• Caroline Michaela Pyzdrowski, PT
• Robert Quarcoo, D.O
• Annmarie Dora Quilty, OTR/L
• Katherine E Quin, LCSW
• Deogracia Quinones, MD
• Michelle Eleonora Quintanilla, OTR/L
• George Anthony Quiroa, D.M.D.

• Athletic Trainer in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.