Rena Alise James | Jacksonville Beach, FL • PECOS Search

Rena Alise James

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

340 16th Ave N Ste B, Jacksonville Beach, FL 32250-4819

(904) 249-8893 (904) 955-4087

PECOS Enrollment

Based on the most recent information from CMS, provider Rena Alise James does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1720735145
Provider Type
Individual
Full Name
James, Rena Alise
Credential
M.S. CCC-SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
3/5/2022
Last Updated
3/5/2022

Contact Information

Practice Location

340 16th Ave N Ste B, Jacksonville Beach, FL 32250-4819

Unlisted Fax

Mailing Location

4929 Skyway Dr Apt 1312, Jacksonville, FL 32246-0032

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License SA17185 Florida