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NPI Code Detail

MEDICARE: JESSICA MENTZER FLOYD

MEDICARE: JESSICA MENTZER FLOYD
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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1750976577
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MENTZER FLOYD
Provider Business Mailing Address
First Line : PO BOX 1162
Second Line :
City : JACKSONVILLE
State : AL
Zip : 36265-5162
Country : US
Telephone Number : 256-239-5662
Fax Number :
Provider Business Practice Location Address
First Line : 150 W PARK LOOP NW STE 101
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35806-1759
Country : US
Telephone Number : 256-239-5662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2021
Last Update Date : 07/28/2023

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Directions to “ JESSICA MENTZER FLOYD ” Practice Location

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