Jenkins-Werner, Jessica M

Jenkins-Werner, Jessica M is an individual health care provider with primary practice located at 1520 N Meade St , Appleton WI 54911-3762. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Jenkins-Werner, Jessica M can be contacted via phone (920) 734-7181.

Contact Information

Primary practice address
1520 N Meade St Appleton WI 54911-3762
Phone: (920) 734-7181
Fax: (920) 734-0621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 370156 Wisconsin
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2188154 Wisconsin

Profile Details

NPI number 1659363877
LBN Legal business name Jenkins-Werner, Jessica M
Credentials M.S., CCC-A/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659363877 NPPES
Wisconsin MEDICAID 41138900

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