Alissa Katelyn Jacks

Speech-Language Pathologist · Evans, GA

Individual Active NPI

NPI number 1982324059

Practice location

536 Grand Slam Dr
Evans, GA 30809-8044
Phone
(803) 397-0761

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NPI record

NPI
1982324059
Entity type
Individual (Type 1)
Enumeration date
August 30, 2022
Last updated
August 30, 2022
Certified
August 30, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

About Alissa Jacks

Alissa Katelyn Jacks is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 536 Grand Slam Dr, Evans, GA 30809-8044. The NPI number 1982324059 was assigned on August 30, 2022 and the record was last updated on August 30, 2022.

Frequently asked questions

What is the NPI number of Alissa Katelyn Jacks?

The NPI number is 1982324059.

What is the phone number of Alissa Jacks?

The phone number listed for the practice location is (803) 397-0761.

Where is Alissa Jacks located?

536 Grand Slam Dr, Evans, GA 30809-8044.

What is the taxonomy code for Alissa Jacks?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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