Myers, Jennifer C

Myers, Jennifer C is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Radiation Oncology, Ll, Saint Louis MO 63110-1032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Myers, Jennifer C can be contacted via phone (314) 747-7236.

Contact Information

Primary practice address
4921 Parkview Pl Dept Radiation Oncology, Ll Saint Louis MO 63110-1032
Phone: (314) 747-7236
Fax: (314) 747-9557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 149921 Missouri

Profile Details

NPI number 1073516746
LBN Legal business name Myers, Jennifer C
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 25th, 2024 - about 2 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 1073516746 NPPES
Missouri MEDICAID 426026605

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