Mrs Kelly Green Jackson, SLP - Speech-Language Pathologist in Mayo, FL

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Mrs Kelly Green Jackson, SLP is a Speech-language Pathologist based in Mayo, Florida. Mrs Kelly Green Jackson is licensed to practice in Florida (license number SZ 3872) and her current practice location is 226 Main St, Mayo, Florida. She can be reached at her office (for appointments etc.) via phone at (386) 294-2947.

NPI number for Mrs Kelly Green Jackson is 1083632467 and her current mailing address is Po Box 866, Mayo, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083632467.

Contact Information

Mrs Kelly Green Jackson, SLP
226 Main St,
Mayo, FL 32066
(386) 294-2947
(386) 294-1416

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kelly Green Jackson
GenderFemale
SpecialitySpeech-language Pathologist
Location226 Main St, Mayo, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083632467
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kelly Green Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083632467NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SZ 3872 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Green Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kelly Green Jackson, SLP
Po Box 866,
Mayo, FL 32066-0866

Ph: (386) 294-2947		Mrs Kelly Green Jackson, SLP
226 Main St,
Mayo, FL 32066

Ph: (386) 294-2947

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Speech-Language Pathologist in Mayo, FL


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