Healthcare Provider Details

I. General information

NPI: 1083505291
Provider Name (Legal Business Name): JESSICA LYNN SHEFFER MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA LYNN ORF RN

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6812 STATE ROUTE 162 STE 200
MARYVILLE IL
62062-8562
US

IV. Provider business mailing address

12855 N 40 DR STE 375
SAINT LOUIS MO
63141-8657
US

V. Phone/Fax

Practice location:
  • Phone: 618-288-0900
  • Fax:
Mailing address:
  • Phone: 314-567-6071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025022331
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: