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

MS. Patti Jean Jacke, MA

Individual provider Audiologist · NPI 1508008251

MS. Patti Jean Jacke, MA is an Audiologist in Ormond Beach, Florida. Practices as a sole proprietor. Licensed in Connecticut, Florida and New York.

Licensed in
CT, FL, NY
In the registry since
2009
Specialties on file
6
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3014 Glin Cir
Ormond Beach, FL 32174
Phone: (386) 492-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA9828 (FL)
Audiologist Taxonomy 231H00000X · Licence 000212 (CT)
Audiologist Taxonomy 231H00000X · Licence AY1537 (FL)
Audiologist Taxonomy 231H00000X · Licence 000528-1 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 002993 (CT)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 010690-1 (NY)

Record details

NPI number1508008251
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedMarch 26, 2009
Last updated in NPPESMarch 26, 2009

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