| Ms Jennifer Jackson Wilson, MA CCC-SLP | |
|
1600 Peyton Manning, Knoxville, TN 37996 | |
| (865) 974-5451 | |
| (865) 974-4639 |
| Full Name | Ms Jennifer Jackson Wilson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1600 Peyton Manning, Knoxville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033232913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 0000001403 (Tennessee) | Primary |
| Provider Name | University Of Tennessee |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427064880 PECOS PAC ID: 3072421213 Enrollment ID: O20040119000515 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Jackson Wilson, MA CCC-SLP 1600 Peyton Manning Pass, Knoxville, TN 37996-0001 Ph: (865) 974-5451 | Ms Jennifer Jackson Wilson, MA CCC-SLP 1600 Peyton Manning, Knoxville, TN 37996 Ph: (865) 974-5451 |
Jennifer Lee Henderson, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 126, Knoxville, TN 37923 Phone: 678-246-9425 Fax: 865-769-0801 | |
Mrs. Elizabeth Lafuze Gill, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10336 Harrison Springs Ln, Knoxville, TN 37932 Phone: 239-691-1151 | |
Pamela Rose Johnson, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 126, Knoxville, TN 37923 Phone: 865-250-1138 Fax: 865-769-0801 | |
Isabelle Katherine Gelfand, M.ED., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10133 Sherrill Blvd, Knoxville, TN 37932 Phone: 865-242-8575 | |
Speech Pathology Associates Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Glennshire Dr, Knoxville, TN 37923 Phone: 865-705-8688 | |
Meaghan Ruppert, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9040 Executive Park Dr, Suite 105, Knoxville, TN 37923 Phone: 423-312-1585 Fax: 865-769-0801 | |
Lauryn Dills, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr, Suite 126, Knoxville, TN 37923 Phone: 865-693-5622 Fax: 865-769-0801 |