Individual
MRS. JENNIFER NICKLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1115 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109-5443
(573) 634-3070
(573) 636-3247
Mailing address
5409 BULL ROCK RD, JEFFERSON CITY, MO 65109-6277
(573) 634-3070
(573) 636-3247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009005833
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461466500
—
MO
Enumeration date
04/11/2007
Last updated
04/07/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us