MS. JAYE STANSBURY WILSON M.A. CCC NPI 1689785388

NPI Information

NPI: 1689785388
Provider Name: MS. JAYE STANSBURY WILSON, M.A., CCC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address: 535 E PINE ST
RIVERSIDE PROFESSIONAL OFFICES, SUITE 211
MOUNT AIRY, NC
ZIP 27030
Phone: (336) 786-1210

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NPI Details

MS. Jaye Stansbury Wilson, M.A., CCC is a speech language pathologist in Mount Airy, NC. 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. Jaye Stansbury Wilson, M.A., CCC NPI is 1689785388. 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:

535 E PINE ST
RIVERSIDE PROFESSIONAL OFFICES, SUITE 211
MOUNT AIRY, NC
ZIP 27030-951
Phone: (336) 786-1210
Fax: (336) 786-1408

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	235Z00000X	Speech-Language Pathologist		1112	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7210340	MEDICAID	NORTH CAROLINA
2	88341	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

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: 3/30/2025

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