Healthcare Provider Details
I. General information
NPI: 1235506932
Provider Name (Legal Business Name): MISS JESSICA ANN ARMSTRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/28/2015
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
775 RATHMELL RD
COLUMBUS OH
43207-4737
US
IV. Provider business mailing address
2123 TEAKWOOD DR
COLUMBUS OH
43229-9330
US
V. Phone/Fax
- Phone: 614-491-8044
- Fax:
- Phone: 614-802-9363
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | 401541890613 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 20211630 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: