Individual provider · Type 1 NPI
Jessica Lee Richards, RN, MSN, CPNP-AC
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1962046961
Active
Practice location
1 Childrens Pl
St. Louis, MO 63110-1081
Mailing address
6433 Pernod Ave
St. Louis, MO 63139-2043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | 2014036569 (MO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2019040759 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1962046961
Jessica Lee Richards, RN, MSN, CPNP-AC's National Provider Identifier is 1962046961, issued on Nov 1, 2019. 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 Nov 5, 2021.