MEDICARE: JENNIFER MESSER

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	SZ9596	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SZ9596	OTHER	FL	SPEECH LANGUAGE PATHOLOGIST

General Provider Information

NPI Number	:	1972113926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MESSER

Provider Business Mailing Address
First Line	:	3120 OAK SHADOW LN
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32504-4967
Country	:	US
Telephone Number	:	850-723-7701
Fax Number	:

Provider Business Practice Location Address
First Line	:	7830 PINE FOREST RD
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-8404
Country	:	US
Telephone Number	:	850-941-5000
Fax Number	:

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

Provider Enumeration Date	:	08/05/2020
Last Update Date	:	08/05/2020

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Directions to “ JENNIFER MESSER ” Practice Location

Language	Start Address	Practice Location

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