MRS. KELLY JACKSON, S.L.P.
Speech-Language Pathologist
Active
Individual
NPI: 1083632467
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | SA8681 (FL) |
Frequently Asked Questions
NPI 1083632467 is the National Provider Identifier for MRS. KELLY JACKSON, S.L.P., a Speech-Language Pathologist provider located in Lake Park, GA. This NPI was enumerated on July 17, 2006.
MRS. KELLY JACKSON, S.L.P. practices at 5314 MOSS OAK TRL, Lake Park, GA 31636.
Quick Facts
- NPI
- 1083632467
- Type
- Individual
- Enumerated
- Jul 17, 2006
- Last Updated
- Jan 27, 2025
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