Healthcare Provider Details

I. General information

NPI: 1598677296
Provider Name (Legal Business Name): JENNIFER B SNABES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3735 LANSING AVE
JACKSON MI
49202-1015
US

IV. Provider business mailing address

801 BITTERSWEET ST
JACKSON MI
49203-2557
US

V. Phone/Fax

Practice location:
  • Phone: 517-817-4705
  • Fax:
Mailing address:
  • Phone: 517-745-9108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101001704
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: