Individual provider · Type 1 NPI
Jennifer Irene Wofford, PNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1316274053
Active
Practice location
1 Childrens Pl
St. Louis, MO 63110-1002
Fax (314) 454-2780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2003016294 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2009034586 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1316274053
Jennifer Irene Wofford, PNP's National Provider Identifier is 1316274053, issued on Nov 17, 2009. 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 Sep 29, 2026.