Individual provider · Type 1 NPI
Jill Marie Immethun
Family Nurse Practitioner · St. Louis, MO
NPI number
1477486595
Active
Practice location
7334 S Lindbergh Blvd
St. Louis, MO 63125-4522
Mailing address
502 Alpine Dr
Waterloo, IL 62298-1082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2014002527 (MO) |
Family Nurse Practitioner: Definition to come...
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- Ashley Frances Marie Pike, FNPFamily Nurse Practitioner St. Louis, MO NPI 1003358730
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- Lonnikah Holmes, FNP-BCFamily Nurse Practitioner St. Louis, MO NPI 1003487505
About NPI 1477486595
Jill Marie Immethun's National Provider Identifier is 1477486595, issued on Jun 8, 2026. 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 Oct 6, 2026.