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

Jeni Bullard

Individual provider Speech-Language Pathologist · NPI 1164269668

Jeni Bullard is a Qualified Speech Language Pathologist in Corinth, Mississippi. Qualified in 2024, 2 years ago. Practices with King Speech-Language Therapy, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
2
Licensed in
MS
In the registry since
2024

Practice location Address checks out

2203 Highway 72 E
Corinth, MS 38834-8859
Phone: (662) 415-8613
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 S5245 (MS)

Record details

NPI number1164269668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice King Speech-Language Therapy, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corinth