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

MS. Jeannette G Provance

Individual provider Speech-Language Pathologist · NPI 1619095544

MS. Jeannette G Provance is a Speech-Language Pathologist in Malden, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

505 Burkhart
Malden, MO 63863
Phone: (573) 276-5791
Fax: (573) 276-4993
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 0334890 (MO)

Record details

NPI number1619095544
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 8, 2007

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