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NPI Code Detail

MEDICARE: MS. JENNIFER ANNE JORDAN M.S. CCC-SLP

MEDICARE:  MS. JENNIFER ANNE JORDAN  M.S. 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
1235Z00000XSpeech-Language Pathologist103896TX

General Provider Information

NPI Number : 1851617575
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER ANNE JORDAN M.S. CCC-SLP
Provider Business Mailing Address
First Line : 1315 CHESTERPOINT DR
Second Line :
City : SPRING
State : TX
Zip : 77386-2567
Country : US
Telephone Number : 612-237-2560
Fax Number :
Provider Business Practice Location Address
First Line : 1315 CHESTERPOINT DR
Second Line :
City : SPRING
State : TX
Zip : 77386-2567
Country : US
Telephone Number : 612-237-2560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2010
Last Update Date : 04/20/2010

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Directions to “ MS. JENNIFER ANNE JORDAN M.S. CCC-SLP” Practice Location

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