=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316882418
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATELYN JONES
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2026
-----------------------------------------------------
Last Update Date | 04/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 962 TOMMY MUNRO DR STE A
-----------------------------------------------------
City | BILOXI
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39532-2139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 228-207-4393
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6706 HOLLIS LN
-----------------------------------------------------
City | VANCLEAVE
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39565-6009
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | S-5460
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------