person
Jenna Matthews
Gerontology Nurse Practitioner in Saint Louis, Missouri
NPI 1689210924

Jenna Matthews is a Gerontology Nurse Practitioner based in Kansas City, MO and is specialized in Gerontology. Jenna Matthews practices in Saint Louis, MO. The NPI Number for Jenna Matthews is 1689210924 and holds a License No. 2019028561 (Missouri).

The current practice location address for Jenna Matthews is 10004 Kennerly Rd Ste 374B, Saint Louis, MO and can be reached out via phone at 314-842-9669 and via fax at 314-842-1017.

Location: 10004 Kennerly Rd Ste 374B, Saint Louis, MO, 64180-2841
person
Provider Profile Details
NPI Number
1689210924
Provider Name
Jenna Matthews
Credential
Provider Entity Type
Individual
Gender
Female
Address
10004 Kennerly Rd Ste 374B, Saint Louis, MO, 64180-2841
Phone Number
314-842-9669
Fax Number
314-842-1017
Provider Enumeration Date
11/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AG06190154 01 AMERICAN ACADEMY OF NURSE PRACTITIONERS
institution
Provider Business Practice Location Address Details
Address
10004 Kennerly Rd Ste 374B
City
State
Zip
63128-2178
Phone Number
314-842-9669
Fax Number
314-842-1017
person
Provider Business Mailing Address Details
Address
10004 Kennerly Rd Ste 374B
City
State
Zip
63128-2178
Phone Number
314-842-9669
Fax Number
314-842-1017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2019028561 (Missouri)
Definition
Definition to come...
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