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NPI Code Detail

MEDICARE: JESSICA PARKER WOLFORD

MEDICARE: JESSICA PARKER WOLFORD
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
1106S00000XBehavior TechnicianRBT-22-202714GA

General Provider Information

NPI Number : 1831843481
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA PARKER WOLFORD
Provider Business Mailing Address
First Line : PO BOX 253
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-0253
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 KING GEORGE BLVD
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-9547
Country : US
Telephone Number : 912-785-9027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2022
Last Update Date : 12/20/2024

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Directions to “ JESSICA PARKER WOLFORD ” Practice Location

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