MEDICARE: JESSICA MCLINDSAY AU.D.

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	237600000X	Audiologist-Hearing Aid Fitter	1615	ND
2	231H00000X	Audiologist	1615	ND

General Provider Information

NPI Number	:	1477988459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MCLINDSAY AU.D.

Provider Business Mailing Address
First Line	:	3000 N 14TH ST FL 3
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58503-0697
Country	:	US
Telephone Number	:	701-805-8057
Fax Number	:	701-751-3168

Provider Business Practice Location Address
First Line	:	3000 N 14TH ST FL 3
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58503-0697
Country	:	US
Telephone Number	:	701-805-8057
Fax Number	:	701-751-3168

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

Provider Enumeration Date	:	09/09/2013
Last Update Date	:	09/17/2019

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