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Ms. Jane K. Michener, CPNP
Pediatric Nurse Practitioner in St. Louis, Missouri
NPI 1831117647

Jane K. Michener is a Pediatric Nurse Practitioner based in Philadelphia, MO and is specialized in Pediatrics. Jane K. Michener practices in St. Louis, MO and has the professional credentials of CPNP. The NPI Number for Jane K. Michener is 1831117647 and holds a License No. 140451 (Missouri).

The current practice location address for Jane K. Michener is 4400 Clayton Avenue, St. Louis, MO and can be reached out via phone at 314-432-3600 and via fax at 314-872-8309.

Location: 4400 Clayton Avenue, St. Louis, MO, 19178-7642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831117647
Provider Name
Jane K. Michener
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
4400 Clayton Avenue, St. Louis, MO, 19178-7642
Phone Number
314-432-3600
Fax Number
314-872-8309
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180798 01 MO-BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4400 Clayton Avenue
City
St. Louis
State
Missouri
Zip
63110
Phone Number
314-432-3600
Fax Number
314-872-8309
person
Provider Business Mailing Address Details
Address
4400 Clayton Avenue
City
St. Louis
State
Missouri
Zip
63110
Phone Number
314-432-3600
Fax Number
314-872-8309
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
140451 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
140451 (Missouri)
Definition
Definition to come...
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