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NPI Code Detail

MEDICARE: MS. JESSICA HAMMOND MA

MEDICARE: MS. JESSICA HAMMOND MA
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 PathologistNE

General Provider Information

NPI Number : 1376069393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA HAMMOND MA
Provider Business Mailing Address
First Line : 3625 G ST
Second Line :
City : SOUTH SIOUX CITY
State : NE
Zip : 68776-3466
Country : US
Telephone Number : 402-494-3061
Fax Number :
Provider Business Practice Location Address
First Line : 3625 G ST
Second Line :
City : SOUTH SIOUX CITY
State : NE
Zip : 68776-3466
Country : US
Telephone Number : 402-494-3061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2017
Last Update Date : 07/21/2022

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Directions to “ MS. JESSICA HAMMOND MA” Practice Location

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