MEDICARE: MS. JILLIAN SKYE JOHNSON 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1871224386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JILLIAN SKYE JOHNSON M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	814 SHADOW LAKE DR
Second Line	:
City	:	WILLOW SPRING
State	:	NC
Zip	:	27592-9138
Country	:	US
Telephone Number	:	919-285-1647
Fax Number	:	919-576-1366

Provider Business Practice Location Address
First Line	:	10844 PROVIDENCE RD STE 225
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-4107
Country	:	US
Telephone Number	:	919-285-1647
Fax Number	:	919-576-1366

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

Provider Enumeration Date	:	06/23/2022
Last Update Date	:	06/23/2022

Similar Medicare Providers

1497533392 — HALEY JOANNE WATSON
Practice Location Address:

10844 PROVIDENCE RD STE 225
CHARLOTTE, NC
28277-4107

Practice Phone: 980-288-6822
Practice Fax:

1528927258 — REBECCA NUGENT
Practice Location Address:

2412 N PINE ST UNIT 5306
CHARLOTTE, NC
28206-4107

Practice Phone: 704-308-1881
Practice Fax:

1467727560 — ERIC PATRICE SEDE NIETCHO
Practice Location Address:

4107 ALDERSHOT CT APT C
CHARLOTTE, NC
28211-4536

Practice Phone: 417-619-2821
Practice Fax:

1730905399 — COMPLETE HEALTHCARE
Practice Location Address:

4107 CHIP SPARROW LN
CHARLOTTE, NC
28269-0262

Practice Phone: 980-613-2382
Practice Fax:

1083573265 — CHRISTIAN STANDAL
Practice Location Address:

5630 SAGE HILLS DR APT 920
CHARLOTTE, NC
28277-0615

Practice Phone: 619-339-8147
Practice Fax:

1407725807 — ANNA TINKER FAIRCLOTH
Practice Location Address:

10905 PROVIDENCE RD W # 260
CHARLOTTE, NC
28277-1538

Practice Phone: 704-542-0744
Practice Fax:

Directions to “ MS. JILLIAN SKYE JOHNSON M.S. CCC-SLP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.