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MS. JESSICA FANNING NPI 1437482163


NPI Information

NPI: 1437482163
Provider Name: MS. JESSICA FANNING
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
3823 E STATE ROAD 64
BRADENTON, FL
ZIP 34208
Phone: (941) 745-5111
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MS. Jessica Fanning is a speech language pathologist in Bradenton, FL. The provider is 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MS. Jessica Fanning NPI is 1437482163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3823 E STATE ROAD 64
BRADENTON, FL
ZIP 34208-041
Phone: (941) 745-5111
Fax: (941) 745-5667

The enumeration date for this NPI number is 9/14/2009 and was last updated on 1/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSA10996FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003251000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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