Individual provider · Type 1 NPI

Jessica Claire Lutker, APRN

Adult Health Nurse Practitioner · St. Louis, MO

NPI number 1053919118 Active

Practice location

10012 Kennerly Rd Ste 400
St. Louis, MO 63128-2197

Fax (314) 543-5994

Mailing address

1223 N Rapp Ave
Columbia, IL 62236-1125

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2020034593 (MO)
Registered Nurse 163W00000X2014039582 (MO)

Adult Health Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1053919118

Jessica Claire Lutker, APRN's National Provider Identifier is 1053919118, issued on Oct 12, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Oct 22, 2020.