Individual provider · Type 1 NPI
Rebecca Theresa Medlock, AGACNP-BC
Gerontology Nurse Practitioner · Fenton, MO
NPI number
1023632932
Active
Practice location
736 Marco Valley Ct
Fenton, MO 63026-5318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2019029631 (MO) |
Gerontology Nurse Practitioner: Definition to come...
Other gerontology nurse practitioner providers in Fenton
About NPI 1023632932
Rebecca Theresa Medlock, AGACNP-BC's National Provider Identifier is 1023632932, issued on Jun 5, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fenton, MO. The record was last updated on Sep 11, 2025.