Organization · Type 2 NPI

Mercy Hospital South

Nurse Practitioner · St. Louis, MO

NPI number 1104974518 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Call (314) 525-4859 Map

Mailing address

10010 Kennerly Road
St. Louis, MO 63128

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X150546 (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 1104974518

Mercy Hospital South's National Provider Identifier is 1104974518, issued on Jan 8, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 24, 2018.