Provider Demographics
NPI:1912684580
Name:HAMILTON, JESSICA K (AUD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:K
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 S LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-5824
Mailing Address - Country:US
Mailing Address - Phone:303-518-8291
Mailing Address - Fax:
Practice Address - Street 1:4012 BEESTON HILL MEDICAL CENTER
Practice Address - Street 2:SUITE 8
Practice Address - City:ST. CROIX
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-773-8801
Practice Address - Fax:340-713-9828
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0001216231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist