Individual provider · Type 1 NPI

Jenna Matthews

Gerontology Nurse Practitioner · St. Louis, MO

NPI number 1689210924 Active

Practice location

10004 Kennerly Rd Ste 374B
St. Louis, MO 63128-2178

Fax (314) 842-1017

Mailing address

PO Box 802841
Kansas City, MO 64180-2841

Other practice locations

  • 4601 Executive Centre Pkwy Ste 300, St. Peters, MO 63376-1685 · (636) 244-5890

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2019028561 (MO)

Gerontology Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1689210924

Jenna Matthews's National Provider Identifier is 1689210924, issued on Nov 21, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Dec 11, 2023.