Healthcare Provider Details

I. General information

NPI: 1851893341
Provider Name (Legal Business Name): JESSICA RAE BRITT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2018
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 S NEW BALLAS RD STE 3100
SAINT LOUIS MO
63141-8219
US

IV. Provider business mailing address

607 S NEW BALLAS RD STE 3100
SAINT LOUIS MO
63141-8219
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-1340
  • Fax: 314-251-1341
Mailing address:
  • Phone: 314-251-1340
  • Fax: 314-251-1341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017027828
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: