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NPI Code Detail

MEDICARE: MRS. JESSICA HAYMON

MEDICARE: MRS. JESSICA HAYMON
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 PathologistSLP7097AZ
2235Z00000XSpeech-Language Pathologist14628NC

General Provider Information

NPI Number : 1811267610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA HAYMON
Provider Business Mailing Address
First Line : 318 CATAMARAN RD
Second Line :
City : SWANSBORO
State : NC
Zip : 28584-2505
Country : US
Telephone Number : 928-750-6868
Fax Number :
Provider Business Practice Location Address
First Line : 2994 OLD AIRPORT RD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-8738
Country : US
Telephone Number : 252-672-8680
Fax Number : 252-638-6989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2012
Last Update Date : 03/11/2021

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Directions to “ MRS. JESSICA HAYMON ” Practice Location

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