person
Virginia Jenelle Nickerson, SLP-A
Speech-Language Assistant in Mountain Home, Arkansas
NPI 1649059312

Virginia Jenelle Nickerson is a Speech-Language Assistant based in Mountain Home, AR and is specialized in Speech-Language Assistant. Virginia Jenelle Nickerson practices in Mountain Home, AR and has the professional credentials of SLP-A. The NPI Number for Virginia Jenelle Nickerson is 1649059312 and holds a License No. 202372 (Arkansas).

The current practice location address for Virginia Jenelle Nickerson is 2465 Rodeo Dr, Mountain Home, AR and can be reached out via phone at 501-206-4555. You can also correspond with Virginia Jenelle Nickerson through the mailing address at 3117 PARTIPILO ST, MOUNTAIN HOME, AR - 72653-5855 (mailing address contact number: 501-206-4555).

Location: 2465 Rodeo Dr, Mountain Home, AR, 72653-5855
person
Provider Profile Details
NPI Number
1649059312
Provider Name
Virginia Jenelle Nickerson
Credential
SLP-A
Provider Entity Type
Individual
Gender
Female
Address
2465 Rodeo Dr, Mountain Home, AR, 72653-5855
Phone Number
501-206-4555
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2465 Rodeo Dr
City
State
Zip
72653-4501
Phone Number
501-206-4555
Fax Number
person
Provider Business Mailing Address Details
Address
2465 Rodeo Dr
City
State
Zip
72653-4501
Phone Number
501-206-4555
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
202372 (Arkansas)
Definition
Definition to come...
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