Individual provider · Type 1 NPI
Jane K. Michener, CPNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1831117647
Active
Practice location
4400 Clayton Avenue
St. Louis, MO 63110
Fax (314) 872-8309
Mailing address
PO Box 8500, Lockbox 7642
Philadelphia, PA 19178-7642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 140451 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 140451 (MO) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1831117647
Jane K. Michener, CPNP's National Provider Identifier is 1831117647, issued on Jul 18, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Jan 12, 2017.