Individual provider · Type 1 NPI

Jessica Leigh Fegan, APRN

Nurse Practitioner · St. Louis, MO

NPI number 1467947317 Active

Practice location

3015 N Ballas Rd
St. Louis, MO 63131-2329

Fax (314) 996-7691

Mailing address

'po Box 959354 St Louis Mo 63195'
St. Louis, MO 63195-0001

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X2012016897 (MO)
Nurse Practitioner Primary 363L00000X2018030057 (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 1467947317

Jessica Leigh Fegan, APRN's National Provider Identifier is 1467947317, issued on Jun 23, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 13, 2025.