Healthcare Provider Details

I. General information

NPI: 1194680777
Provider Name (Legal Business Name): ASHLEY MERCER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S NEW BALLAS RD STE 330
SAINT LOUIS MO
63141-8725
US

IV. Provider business mailing address

701 S NEW BALLAS RD STE 330
SAINT LOUIS MO
63141-8725
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-8850
  • Fax:
Mailing address:
  • Phone: 314-251-8850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041586237
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2017016488
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: