Kimberly Dawn Jasensky in Jacksonville - Speech-language Pathologist
Kimberly Dawn Jasensky - NPI 1114068400
Kimberly Dawn Jasensky is a Speech-language Pathologist in Jacksonville, Florida. Kimberly Dawn Jasensky practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kimberly Dawn Jasensky is 1114068400. The last update date is 2019-01-03.
Kimberly Dawn Jasensky's current location address is 3599 University Blvd South, Jacksonville, Florida. You can contact this provider via phone number 9048912736. The mailing address for Kimberly Dawn Jasensky is 3599 University Blvd South, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Dawn Jasensky |
|---|---|
| Address | 3599 University Blvd South, Jacksonville, Florida |
| Phone Number | 9048912736 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS CCC SLP |
NPI Number Detail
| NPI Number | 1114068400 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2019-01-03 |
Provider Mailing Address Detail
| Address | 3599 University Blvd South |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322164252 |
| Phone Number | 9048912736 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2015037683 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 889727100 | FL | -- |
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What is the unique 10-digit identification code issued to Kimberly Dawn Jasensky by the Centers for Medicare & Medicaid Services?
The Kimberly Dawn Jasensky has been assigned the NPI (National Provider Identifier) 1114068400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kimberly Dawn Jasensky is physically located?
The Kimberly Dawn Jasensky is situated at the following address: 3599 University Blvd South, Jacksonville, FL 322164252.
What is Kimberly Dawn Jasensky's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly Dawn Jasensky is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
On what date did the Kimberly Dawn Jasensky receive the assignment of its 1114068400 from the Centers for Medicare & Medicaid Services?
The Kimberly Dawn Jasensky was issued its 1114068400 by the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date were the Kimberly Dawn Jasensky's details last updated?
The information pertaining to the Kimberly Dawn Jasensky, including its address, specialty, and other details, was most recently updated on 2019-01-03.
NPI Number: 1982607784
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