DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA FUQUA M.S., CCC-SLP

MEDICARE: JESSICA FUQUA M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist4434OK

General Provider Information

NPI Number : 1346618659
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA FUQUA M.S., CCC-SLP
Provider Business Mailing Address
First Line : 11500 N PORTLAND AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-4625
Country : US
Telephone Number : 405-608-4569
Fax Number : 405-548-4349
Provider Business Practice Location Address
First Line : 8125 E 101ST ST STE 50
Second Line :
City : TULSA
State : OK
Zip : 74133-7245
Country : US
Telephone Number : 918-392-7600
Fax Number : 405-548-4350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2015
Last Update Date : 02/28/2025

Similar Medicare Providers

1083463087 — KAMRYN JOHNSON
Practice Location Address:
8125 E 101ST ST STE 50
TULSA, OK
74133-7245
Practice Phone: 918-392-7600
Practice Fax: 405-548-4350
1982020129 — JENNA R WEGENER
Practice Location Address:
8125 E 101ST ST STE 50
TULSA, OK
74133-7245
Practice Phone: 918-392-7600
Practice Fax: 405-548-4350
1295279610 — NICOLE PAIN
Practice Location Address:
8125 E 101ST ST STE 50
TULSA, OK
74133-7245
Practice Phone: 918-392-7600
Practice Fax: 405-548-4350
1558829176 — KELSEY MOUNT AU.D.
Practice Location Address:
8125 E 101ST ST STE 50
TULSA, OK
74133-7245
Practice Phone: 918-392-7600
Practice Fax: 405-548-4350
1396203907 — KAYLEA CLARK
Practice Location Address:
8125 E 101ST ST STE 50
TULSA, OK
74133-7245
Practice Phone: 918-392-7600
Practice Fax: 405-548-4350
1821550484 — JILLIAN BECCA ROBERTS AU.D.
Practice Location Address:
8125 E 101ST ST STE 50
TULSA, OK
74133-7245
Practice Phone: 918-392-7600
Practice Fax: 405-548-4350

Directions to “ JESSICA FUQUA M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.