Individual provider · Type 1 NPI
Bianca Michelle Jackson
Speech-Language Assistant · Missouri City, TX
NPI number
1790293264
Active
Practice location
16507 Mahogany Dr
Missouri City, TX 77489-3918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
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About NPI 1790293264
Bianca Michelle Jackson's National Provider Identifier is 1790293264, issued on Jan 17, 2018. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Missouri City, TX. The record was last updated on Jan 17, 2018.