Healthcare Provider Details

I. General information

NPI: 1881538908
Provider Name (Legal Business Name): JEMISHA POYNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9416 MIRIAM AVE
SAINT LOUIS MO
63114-3914
US

IV. Provider business mailing address

9416 MIRIAM AVE
SAINT LOUIS MO
63114-3914
US

V. Phone/Fax

Practice location:
  • Phone: 314-306-3681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: