Individual provider · Type 1 NPI

Justina Gloria Wolford, NP

Nurse Practitioner · St. Louis, MO

NPI number 1790610707 Active

Practice location

3009 N Ballas Rd Ste 383C
St. Louis, MO 63131-2324

Call (314) 305-1447 Map

Fax (314) 996-4546

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

11133 Dunn Rd, St. Louis, MO 63136-6119 · (314) 653-5000

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2026026553 (MO)
Hospice and Palliative Medicine (Family Medicine) Physician	207QH0002X	2026026553 (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 1790610707

Justina Gloria Wolford, NP's National Provider Identifier is 1790610707, issued on Jun 13, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 16, 2026.