Individual ProviderJenna LevineSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address779 10th Avenue South, Jacksonville Beach, FL 32250(904) 707-9394PECOS EnrollmentBased on the most recent information from CMS, provider Jenna Levine 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 ID1689059115Provider TypeIndividualFull NameLevine, JennaCredentialM.S., CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date7/27/2015Last Updated1/9/2019Contact InformationPractice LocationPractice Address779 10th Avenue South, Jacksonville Beach, FL 32250Phone(904) 707-9394FaxUnlisted FaxMailing LocationMailing Address21 Oakwood Rd, Jacksonville Beach, FL 32250-2914Phone(904) 707-9394FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSA16404Florida