Quisenberry, Jennifer Lynn

Quisenberry, Jennifer Lynn is an individual health care provider with primary practice located at 15740 S Outer 40 Rd , Chesterfield MO 63017-2004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Quisenberry, Jennifer Lynn can be contacted via phone (636) 237-4700.

Contact Information

Primary practice address
15740 S Outer 40 Rd Chesterfield MO 63017-2004
Phone: (636) 237-4700
Fax: (314) 364-6350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011038689 Missouri

Profile Details

NPI number 1598032062
LBN Legal business name Quisenberry, Jennifer Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Aug 24th, 2023 - about 3 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 1598032062 NPPES
Missouri Other 111060009 MEDICARE PTAN

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