Individual provider · Type 1 NPI
Jenna Paneitz
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1194645242
Active
Practice location
3737 N Kingshighway Blvd Unit 209-210
St. Louis, MO 63115-1736
Mailing address
1354 Pegasus Trl
St. Peters, MO 63376-5237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2026032452 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1194645242
Jenna Paneitz's National Provider Identifier is 1194645242, issued on Jul 20, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Jul 20, 2026.