Jill Jackson in Delavan - Speech-language Pathologist
Jill Jackson - NPI 1114040276
Jill Jackson is a Speech-language Pathologist in Delavan, Wisconsin. Jill Jackson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jill Jackson is 1114040276. The last update date is 2007-07-08.
Jill Jackson's current location address is N4901 Dam Rd, Delavan, Wisconsin. You can contact this provider via phone number 2627402170 and fax number 2627407201. The mailing address for Jill Jackson is N4901 Dam Rd, Delavan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Jackson |
|---|---|
| Address | N4901 Dam Rd, Delavan, Wisconsin |
| Phone Number | 2627402170 |
| Fax Number | 2627407201 |
| Sole Proprietor | N |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1114040276 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | N4901 Dam Rd |
|---|---|
| City | Delavan |
| State | Wisconsin (WI) |
| Post Code | 531152927 |
| Phone Number | 2627402170 |
| Fax Number | 2627407201 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2132-154 |
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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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Post Comment/ Review Below
What is the Jill Jackson's unique identification number?
The Jill Jackson has been assigned the NPI (National Provider Identifier) Number 1114040276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jill Jackson's facilities are geographically located?
The facilities of Jill Jackson are physically situated at the following location: N4901 Dam Rd, Delavan, WI, 531152927.
What is Jill Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jill Jackson is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Jill Jackson receive the assignment of its 1114040276 from the Centers for Medicare & Medicaid Services?
The Jill Jackson was issued its 1114040276 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the Jill Jackson's information last updated?
The Jill Jackson's information was last updated on 2007-07-08.