Jenna Matthews

Gerontology Nurse Practitioner · Saint Louis, MO

Individual Active NPI

NPI number 1689210924

Practice location

10004 Kennerly Rd Ste 374b
Saint Louis, MO 63128-2178
Phone
(314) 842-9669
Fax
(314) 842-1017

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NPI record

NPI
1689210924
Entity type
Individual (Type 1)
Enumeration date
November 21, 2019
Last updated
December 11, 2023
Certified
December 11, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gerontology Nurse Practitioner Primary 363LG0600X 2019028561 MO

Mailing address

PO Box 802841
Kansas City, MO 64180-2841
Phone
(314) 842-9669
Fax
(314) 842-1017

Other practice locations (1)

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

About Jenna Matthews

Jenna Matthews is a healthcare provider registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is 10004 Kennerly Rd Ste 374b, Saint Louis, MO 63128-2178. The NPI number 1689210924 was assigned on November 21, 2019 and the record was last updated on December 11, 2023.

Jenna Matthews lists a license in the registry: #2019028561 (MO) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jenna Matthews?

The NPI number is 1689210924.

What is the phone number of Jenna Matthews?

The phone number listed for the practice location is (314) 842-9669.

Where is Jenna Matthews located?

10004 Kennerly Rd Ste 374b, Saint Louis, MO 63128-2178.

What is the taxonomy code for Jenna Matthews?

The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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