Individual
JESSICA NICHOLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
915 COURT ST, LYNCHBURG, VA 24504-1603
(434) 515-5000
Mailing address
108 LEEWARD WAY, LYNCBURG, VA 24501
(812) 639-6943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009909
VA
235Z00000X
Speech-Language Pathologist
6653
SC
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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