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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE NICOLE JENKINS, MA CCC-SLP

Active Sole Proprietor

STEPHANIE NICOLE JENKINS, MA CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in FAYETTEVILLE, Georgia. NPI 1508531062 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · FAYETTEVILLE, GA

Registration Details

NPI Number
1508531062
Provider Type
Individual
Gender
Female
NPI Issued
Aug 16, 2021 (5.0009565866576 yrs)
Last Updated
Aug 16, 2021
License
011235 (GA)
Sole Proprietor
Yes

Practice Information

Address
115 PECAN RIDGE DR
FAYETTEVILLE, GA, 302156863
Browse GA providers · Browse ZIP 30215
Phone
6144405002
Fax
4704880797
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in FAYETTEVILLE, GA

Name Credential NPI
KEANNA NELSON CCC-SLP 1386635191
KARIN SHAH 1730111667
KATHARINE GRIDLEY 1497787311
LOURDES SORIANO SLP 1750301156
MISS PAULA MICHELLE FORRESTER M.ED 1689698854
MRS. MICHELLE N. ROBERTSON M.A. CCC-SLP 1164584702
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.