Individual
BERNUDE JESUCAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 US-61, TUNICA, MS 38676
(662) 363-3164
Mailing address
4141 PENWELL DR, HORN LAKE, MS 38637-1283
(901) 600-0966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003285
NC
235Z00000X
Speech-Language Pathologist
8066
TN
235Z00000X
Speech-Language Pathologist
PCET003197
GA
235Z00000X
Speech-Language Pathologist
S4746
MS
Other
Enumeration date
07/30/2020
Last updated
03/17/2026
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