Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Billie Jo Revels

Individual provider Speech-Language Pathologist · NPI 1063246502

Billie Jo Revels is a Speech-Language Pathologist in Crescent City, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

100 N Lake St
Crescent City, FL 32112-2620
Phone: (386) 937-0173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA11711 (FL)

Record details

NPI number1063246502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024