Provider Demographics
NPI:1063664415
Name:NADEAU, JALENE MARIE (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:JALENE
Middle Name:MARIE
Last Name:NADEAU
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:MISS
Other - First Name:JALENE
Other - Middle Name:MARIE
Other - Last Name:SEELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:576 FORT LOUDOUN MEDICAL CENTER DR STE 207
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37772-5676
Mailing Address - Country:US
Mailing Address - Phone:865-292-3560
Mailing Address - Fax:865-271-6540
Practice Address - Street 1:576 FORT LOUDOUN MEDICAL CENTER DR STE 207
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5676
Practice Address - Country:US
Practice Address - Phone:865-292-3560
Practice Address - Fax:865-271-6540
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN1714231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist