Provider Demographics
NPI:1821694001
Name:AROSE, JENNIFER SHALLON (MS, CCC-SLP, CDP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SHALLON
Last Name:AROSE
Suffix:
Gender:F
Credentials:MS, CCC-SLP, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 GRANDVIEW ACRES RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-5019
Mailing Address - Country:US
Mailing Address - Phone:828-371-4698
Mailing Address - Fax:
Practice Address - Street 1:245 W OLD MURPHY RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734
Practice Address - Country:US
Practice Address - Phone:828-524-7806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2103232235Z00000X
GASLP011461235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist