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NPI Code Detail

MEDICARE: JANETTE GRACE JESTER

MEDICARE: JANETTE GRACE JESTER
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 PathologistSLP004032GA

General Provider Information

NPI Number : 1679203723
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANETTE GRACE JESTER
Provider Business Mailing Address
First Line : 3104 SKINNER MILL RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-1968
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3104 SKINNER MILL RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30909-1968
Country : US
Telephone Number : 706-522-4222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2022
Last Update Date : 06/13/2022

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Directions to “ JANETTE GRACE JESTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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