Michener, Jane K.

Michener, Jane K. is an individual health care provider with primary practice located at 4400 Clayton Avenue , St. Louis MO 63110. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Michener, Jane K. can be contacted via phone (314) 432-3600.

Contact Information

Primary practice address
4400 Clayton Avenue St. Louis MO 63110
Phone: (314) 432-3600
Fax: (314) 872-8309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 140451 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 140451 Missouri

Profile Details

NPI number 1831117647
LBN Legal business name Michener, Jane K.
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 12th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831117647 NPPES
Other 180798 MO-BLUE SHIELD

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