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

Individual provider Speech-Language Pathologist · NPI 1568729309

Shannon Jesiolowski, SLP is a Qualified Speech Language Pathologist in Ridgeland, Mississippi. Qualified in 1998, 28 years ago. Practices with Pure Health Therapy Services LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
28
Licensed in
MS
In the registry since
2012
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 607-1553
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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 S2360 (MS)

Record details

NPI number1568729309
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedApril 18, 2012
Last updated in NPPESApril 18, 2012

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Pure Health Therapy Services Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ridgeland