| Mrs Jennifer L Quillen, MS, CCC-SLP | |
|
156 S. Dossett Drive, Lamb Hall, Room 363, Johnson City, TN 37614 | |
| (423) 439-4355 | |
| (423) 439-4607 |
| Full Name | Mrs Jennifer L Quillen |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 156 S. Dossett Drive, Johnson City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396294245 | NPI | - | NPPES |
| Q048291 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202006935 (Virginia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3094 (Tennessee) | Primary |
| Provider Name | Medical Education Assistance Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer L Quillen, MS, CCC-SLP Po Box 699, Mountain Home, TN 37684-0699 Ph: (423) 433-6039 | Mrs Jennifer L Quillen, MS, CCC-SLP 156 S. Dossett Drive, Lamb Hall, Room 363, Johnson City, TN 37614 Ph: (423) 439-4355 |
Mrs. Abigale Grimm, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2214 E Fairview Ave, Johnson City, TN 37601 Phone: 423-928-6464 | |
Mrs. Pamela Faith Abner, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Wesley St Ste 1, Johnson City, TN 37601 Phone: 423-282-1700 Fax: 423-282-9319 | |
Bethany B Thomas, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2340 Knob Creek Road, Suite 704, Johnson City, TN 37604 Phone: 423-929-9101 Fax: 423-434-2032 | |
Jerrica Smith, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 271 Rockingham Meadows Dr, Johnson City, TN 37615 Phone: 423-557-3757 | |
Krista Swanson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 204 E Mountain View Rd Apt 25, Johnson City, TN 37601 Phone: 952-393-1237 | |
Jeanne Wilson, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1817 Millbrook Dr, Johnson City, TN 37604 Phone: 423-952-0829 | |
Carol L Davidson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 302 Wesley St, Suite 8, Johnson City, TN 37601 Phone: 423-282-1700 Fax: 423-282-9319 |