MEDICARE: JENNIFER SUE WELLS M.S. CF-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
1	235Z00000X	Speech-Language Pathologist	SZ7728	FL

General Provider Information

NPI Number	:	1396293924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER SUE WELLS M.S. CF-SLP

Provider Business Mailing Address
First Line	:	281 CYPRESS POINT DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-7148
Country	:	US
Telephone Number	:	813-368-0207
Fax Number	:

Provider Business Practice Location Address
First Line	:	281 CYPRESS POINT DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-7148
Country	:	US
Telephone Number	:	813-368-0207
Fax Number	:

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

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	09/12/2016

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Directions to “ JENNIFER SUE WELLS M.S. CF-SLP” Practice Location

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