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NPI Code Detail

MEDICARE: JENNA FLEURIDOR

MEDICARE: JENNA FLEURIDOR
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 Pathologist2202011421VA

General Provider Information

NPI Number : 1992545859
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA FLEURIDOR
Provider Business Mailing Address
First Line : 911 STURBRIDGE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23236-3700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 911 STURBRIDGE DR
Second Line :
City : RICHMOND
State : VA
Zip : 23236-3700
Country : US
Telephone Number : 804-897-1753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 02/18/2026

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Directions to “ JENNA FLEURIDOR ” 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.

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