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NPI Code Detail

MEDICARE: MRS. JESSICA ADAMS CCC-SLP

MEDICARE: MRS. JESSICA ADAMS 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 Pathologist13861NC

General Provider Information

NPI Number : 1861021115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA ADAMS CCC-SLP
Provider Business Mailing Address
First Line : 810 WILLOWBROOK DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-2061
Country : US
Telephone Number : 336-491-2533
Fax Number :
Provider Business Practice Location Address
First Line : 3201 W MARKET ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1455
Country : US
Telephone Number : 336-541-8167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2020
Last Update Date : 04/06/2026

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Directions to “ MRS. JESSICA ADAMS CCC-SLP” Practice Location

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