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

Jessica Petty

Individual provider Speech-Language Pathologist · NPI 1457784167

Jessica Petty is a Speech-Language Pathologist in Port Orange, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

5535 S Williamson Blvd SUITE#774
Port Orange, FL 32128-8311
Phone: (800) 330-7711
Fax: (386) 944-7202
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 107878 (FL)

Record details

NPI number1457784167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2013
Last updated in NPPESAugust 16, 2013
Mailing address5535 S Williamson Blvd, Suite#774, Port Orange, FL 32128-8311

Other providers in Port Orange