Individual ProviderJessica Nicole BranhamSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1221 Boones Lick Rd, Saint Charles, MO 63301-2328(636) 946-6140PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Nicole Branham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417788258Provider TypeIndividualFull NameBranham, Jessica NicoleCredentialM.S. CFY- SLPGenderFemaleSole ProprietorYesEnumeration Date8/13/2024Last Updated8/13/2024Contact InformationPractice LocationPractice Address1221 Boones Lick Rd, Saint Charles, MO 63301-2328Phone(636) 946-6140FaxUnlisted FaxMailing LocationMailing Address3212 Ringer Rd, Saint Louis, MO 63125-5539PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer