Southward, Jennifer

Southward, Jennifer is an individual health care provider with primary practice located at 4525 Mid Rivers Mall Dr Ste 40 , Cottleville MO 63376-2820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Southward, Jennifer can be contacted via phone (636) 229-3370.

Contact Information

Primary practice address
4525 Mid Rivers Mall Dr Ste 40 Cottleville MO 63376-2820
Phone: (636) 229-3370
Fax: (636) 229-3367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2013037116 Missouri

Profile Details

NPI number 1790100089
LBN Legal business name Southward, Jennifer
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2014
Last updated May 20th, 2026 - about 5 months 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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