MEDICARE: MS. JENNIFER FLORENCE KRAUS MS, CCC-SLP

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	235Z00000X	Speech-Language Pathologist	5938	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0777Y	OTHER	NC	BCBS GROUP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811934243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER FLORENCE KRAUS MS, CCC-SLP

Provider Business Mailing Address
First Line	:	114 LINVILLE RIVER RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27511-7254
Country	:	US
Telephone Number	:	919-460-1229
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 FOREST HILLS RD W
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-3412
Country	:	US
Telephone Number	:	252-243-7400
Fax Number	:	252-243-3291

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/09/2007

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Directions to “ MS. JENNIFER FLORENCE KRAUS MS, CCC-SLP” Practice Location

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