Jill Owenby Park
Individual provider Active NPI Speech-Language Assistant · White Bluff, TN
NPI 1144665381 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1144665381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- Practice address
- 377 School Rd
White Bluff, TN 37187-9023 - Phone
- (615) 740-5775
- Fax
- (615) 797-6400
- NPI assigned
- May 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | Yes |
Addresses
Primary practice location
377 School Rd
White Bluff, TN 37187-9023
Mailing address
377 School Rd
White Bluff, TN 37187-9023
Phone (615) 740-5775
Other providers in White Bluff, TN
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- Michelle A. Osborn
- Jordan Osborne
- Peplau Psychiatry
- David Wilson Powell
- John Pickard Primm
- Anna L. Rackley
- Erica Rahman
All providers in White Bluff, TN · Speech-Language Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.