Active NPIIndividual provider

Jessica P Fama, MS, CCC-SLP

Speech-Language Pathologist, in Wilmington, North Carolina

NPI Number1114557238
Practice location
6622 Gordon RD Ste L, Wilmington, NC 28411-8415
Fax
—
Last updated
March 17, 2025

Jessica Paige Fama is a Speech-Language Pathologist, based in Wilmington, NC. Jessica Paige Fama practices in Wilmington, NC and has the professional credentials of MS, CCC-SLP. The NPI Number for Jessica Paige Fama is 1114557238 and holds a License No. SLP96233 (MA). The current practice location address for Jessica Paige Fama is 6622 Gordon RD Ste L, Wilmington, NC 28411-8415 and can be reached out via phone at 910-407-7211.

Provider Profile Details

NPI Number
1114557238
Provider Name
Jessica Paige Fama
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
6622 Gordon RD Ste L, Wilmington, NC 28411-8415
Phone Number
910-407-7211
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2020
Last Update Date
March 17, 2025
Certification Date
March 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
6622 Gordon RD Ste L
Wilmington, NC 28411-8415
Zip
28411-8415
Phone Number
910-407-7211
Wilmington, NC 28411Get directions →

Provider Business Mailing Address Details

Address
29 Sandra RD
Peabody, MA 01960-5142
City
Peabody
State
MA
Zip
01960-5142
Phone Number
978-995-3425

License Information

Taxonomy (1)
Behavior Technician · 106S00000X
License Number (2)
SLP96233
License State (2)
MA
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
License Number (3)
30002039
License State (3)
NC
Taxonomy (3)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica P Fama, MS, CCC-SLP?

The NPI number of Jessica P Fama, MS, CCC-SLP is 1114557238. It was assigned on January 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Jessica P Fama, MS, CCC-SLP?

Jessica P Fama, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number SLP96233.

Where does Jessica P Fama, MS, CCC-SLP practice?

The practice location is 6622 Gordon RD Ste L, Wilmington, NC 28411-8415. The office can be reached at 910-407-7211 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114557238 directly on the NPPES registry website.

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