Individual provider · Type 1 NPI

Virginia Lorraine Sepich Clemons, RN CPNP

Nurse Practitioner · St. Louis, MO

NPI number 1013976356 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104

Call (314) 577-5675 Map

Fax (314) 268-5111

Mailing address

3691 Rutger Ave, Provider Enrollment
St. Louis, MO 63110

Specialties and licenses

Taxonomy	Code	License
Pediatric Registered Nurse	163WP0200X	104293 (MO)
Nurse Practitioner Primary	363L00000X	20020346 (MO)
Otorhinolaryngology & Head-Neck Registered Nurse	163WX0601X	104293 (MO)
Critical Care Medicine Nurse Practitioner	363LC0200X	20020346 (MO)
Pediatric Nurse Practitioner	363LP0200X	20020346 (MO)

Nurse Practitioner: (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 wit…

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About NPI 1013976356

Virginia Lorraine Sepich Clemons, RN CPNP's National Provider Identifier is 1013976356, issued on Mar 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 3, 2020.