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NPI Code Detail

MEDICARE: MISS JESSICA STONE HULGAN M.S., CCC-SLP

MEDICARE: MISS JESSICA STONE HULGAN M.S., CCC-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
1235Z00000XSpeech-Language Pathologist7239TN

General Provider Information

NPI Number : 1417560814
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JESSICA STONE HULGAN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 5819 WINDING LN STE 105
Second Line :
City : HIXSON
State : TN
Zip : 37343-4067
Country : US
Telephone Number : 423-877-5042
Fax Number : 423-877-5046
Provider Business Practice Location Address
First Line : 3074 HICKORY VALLEY RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-1273
Country : US
Telephone Number : 423-622-1551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2020
Last Update Date : 08/31/2022

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Directions to “ MISS JESSICA STONE HULGAN M.S., CCC-SLP” Practice Location

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