MEDICARE: LINDSAY MEREDITH JENNINGS

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
1	235Z00000X	Speech-Language Pathologist	14548	NC

General Provider Information

NPI Number	:	1003547787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY MEREDITH JENNINGS

Provider Business Mailing Address
First Line	:	3849 BULL RUN CREEK RD
Second Line	:
City	:	FRANKLINVILLE
State	:	NC
Zip	:	27248-8030
Country	:	US
Telephone Number	:	336-302-9127
Fax Number	:	336-458-9654

Provider Business Practice Location Address
First Line	:	1700 WHITEHALL ST
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27262-2042
Country	:	US
Telephone Number	:	336-339-4815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2022
Last Update Date	:	06/22/2022

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Directions to “ LINDSAY MEREDITH JENNINGS ” Practice Location

Language	Start Address	Practice Location

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