Individual provider · Type 1 NPI

Ian Ray Palmejar, FNP

Nurse Practitioner · St. Louis, MO

NPI number 1154059061 Active

Practice location

3023 N Ballas Rd Ste 200D
St. Louis, MO 63131-2328

Call (314) 996-7272 Map

Fax (314) 996-6785

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

536 N Taylor Ave, St. Louis, MO 63108-1888 · (314) 449-1143

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2022036415 (MO)
Family Nurse Practitioner	363LF0000X	F05220729 (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 1154059061

Ian Ray Palmejar, FNP's National Provider Identifier is 1154059061, issued on Aug 9, 2022. 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 6, 2026.