Williams, Brandy Jernigan
Williams, Brandy Jernigan is an individual health care provider with primary practice located at 105 Greenway View Ct , Mount Holly NC 28120-9478. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Williams, Brandy Jernigan can be contacted via phone (704) 907-4610.Contact Information
Primary practice address
105 Greenway View Ct
Mount Holly NC 28120-9478
Phone: (704) 907-4610
Fax: (704) 820-8025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6609 | North Carolina |
Profile Details
| NPI number | 1407820012 |
|---|---|
| LBN Legal business name | Williams, Brandy Jernigan |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 24th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407820012 | NPPES |
| North Carolina | MEDICAID | 7412342 |
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