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NPI Code Detail

MEDICARE: JENNIFER ASHLEY VINCENT

MEDICARE: JENNIFER ASHLEY VINCENT
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 PathologistSLP.LL.70039288WA

General Provider Information

NPI Number : 1588596837
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ASHLEY VINCENT
Provider Business Mailing Address
First Line : 690 GRIDER POND RD
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42104-0805
Country : US
Telephone Number : 270-543-8018
Fax Number :
Provider Business Practice Location Address
First Line : 516 176TH ST E
Second Line :
City : SPANAWAY
State : WA
Zip : 98387-8335
Country : US
Telephone Number : 253-800-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ JENNIFER ASHLEY VINCENT ” Practice Location

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