MEDICARE: DR. JENNIFER JOY ESSE AU.D.

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	231H00000X	Audiologist	3069	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3069	OTHER	SC	STATE AUDIOLOGY LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992792725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER JOY ESSE AU.D.

Provider Business Mailing Address
First Line	:	895 ISLAND PARK DR # 200A
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-7991
Country	:	US
Telephone Number	:	843-971-4199
Fax Number	:	843-971-4292

Provider Business Practice Location Address
First Line	:	895 ISLAND PARK DR STE 200
Second Line	:
City	:	DANIEL ISLAND
State	:	SC
Zip	:	29492-7991
Country	:	US
Telephone Number	:	843-971-4199
Fax Number	:

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	09/17/2018

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