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NPI Code Detail

MEDICARE: JESSICA DANIELLE BRIGGS

MEDICARE:   JESSICA DANIELLE BRIGGS
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 PathologistMN
2235Z00000XSpeech-Language Pathologist9773MN

General Provider Information

NPI Number : 1932656691
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA DANIELLE BRIGGS
Provider Business Mailing Address
First Line : 6776 LAKE DR
Second Line : 220
City : LINO LAKES
State : MN
Zip : 55014-1191
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2555 COUNTY ROAD E E # 102
Second Line :
City : WHITE BEAR LAKE
State : MN
Zip : 55110-4906
Country : US
Telephone Number : 651-784-7007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2016
Last Update Date : 01/10/2024

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Directions to “ JESSICA DANIELLE BRIGGS ” 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.