Individual provider · Type 1 NPI
Jennifer Stark, FNP-BC
Family Nurse Practitioner · St. Louis, MO
NPI number
1417371576
Active
Practice location
12700 Southfork Rd Ste 153
St. Louis, MO 63128-3201
Mailing address
1450 E 10th St
Rolla, MO 65401-3648
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 2012021855 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | 2025023492 (MO) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1417371576
Jennifer Stark, FNP-BC's National Provider Identifier is 1417371576, issued on Feb 10, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 22, 2025.