Healthcare Provider Details

I. General information

NPI: 1356295257
Provider Name (Legal Business Name): STRONG PEDIATRICS AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2419 HYDE PARK RD STE B
JEFFERSON CITY MO
65109-4768
US

IV. Provider business mailing address

2419 HYDE PARK RD STE B
JEFFERSON CITY MO
65109-4768
US

V. Phone/Fax

Practice location:
  • Phone: 660-341-8572
  • Fax:
Mailing address:
  • Phone: 660-341-8572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: HANNAH STRONG
Title or Position: DOCTOR/OWNER
Credential: DO
Phone: 660-341-8572