Jessica P. Brown, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Bristol, VA
NPI 1669948519 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1669948519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202007338 (VA)
- Practice address
- 4350 Gate City Hwy
Bristol, VA 24202-1204 - Phone
- (276) 642-5500
- Fax
- (276) 645-2394
- NPI assigned
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202007338 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202007338 | VA | Yes |
Addresses
Primary practice location
4350 Gate City Hwy
Bristol, VA 24202-1204
Mailing address
4350 Gate City Hwy
Bristol, VA 24202-1204
Phone (276) 642-5500
Other providers in Bristol, VA
- Bristol Virginia Public Schools
- Shauna Britt
- Ametha Broadwater
- Jordan M Brooks
- Stephanie Lynese Brooks
- Amy Browning
- Buntings Drug Center LLC
- Buntings Specialty Care RX
- Gail L Burd
- Kara Leann Bush
All providers in Bristol, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. 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.