MRS. JENNIFER LEE FENDLER NP-C NPI 1609328798

NPI Information

NPI: 1609328798
Provider Name: MRS. JENNIFER LEE FENDLER, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3550 MCKELVEY RD
BRIDGETON, MO
ZIP 63044
Phone: (314) 741-0911
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MRS. Jennifer Lee Fendler, NP-C is a family nurse practitioner in Bridgeton, MO with 8 years of experience. MRS. Jennifer Lee Fendler, NP-C NPI is 1609328798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3550 MCKELVEY RD
BRIDGETON, MO
ZIP 63044-535
Phone: (314) 741-0911
Fax: (314) 653-3670

The NPI 1609328798 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 12/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209015595	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	2016037964	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1609328798	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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