Healthcare Provider Details

I. General information

NPI: 1114404811
Provider Name (Legal Business Name): JENNIFER TERESA FRENCH A-GNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 US HIGHWAY 61 STE 240A
FESTUS MO
63028-4141
US

IV. Provider business mailing address

1265 GRAHAM RD STE 1
FLORISSANT MO
63031-8018
US

V. Phone/Fax

Practice location:
  • Phone: 636-937-3337
  • Fax: 636-931-7671
Mailing address:
  • Phone: 314-741-1600
  • Fax: 314-741-1677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2018027117
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: