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NPI Code Detail

MEDICARE: ASHLEY MARIE JENNINGS MA, CCC-SLP

MEDICARE:   ASHLEY MARIE JENNINGS  MA, 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 PathologistSA15512FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477074136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY MARIE JENNINGS MA, CCC-SLP
Provider Business Mailing Address
First Line : 1140 7TH CT
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1140 7TH CT
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5706
Country : US
Telephone Number : 772-584-3888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2017
Last Update Date : 06/03/2020

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Directions to “ ASHLEY MARIE JENNINGS MA, CCC-SLP” Practice Location

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