Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Nicole Jenkins, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1508531062

Stephanie Nicole Jenkins, MA, CCC-SLP is a Speech-Language Pathologist in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

115 Pecan Ridge Dr
Fayetteville, GA 30215-6863
Phone: (614) 440-5002
Fax: (470) 488-0797
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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 011235 (GA)

Record details

NPI number1508531062
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 14, 2021

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