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General NPI Number Information
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NPI Number | 1750841771
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Entity Type | Individual
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Provider Name | JESSICA FARON KEMP
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 100 CHESTERFIELD BUSINESS PKWY STE 110
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City | CHESTERFIELD
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State | MO
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Zip | 63005-1271
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Country | US
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Telephone | 636-532-0990
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S NEW BALLAS RD STE 189A
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8255
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2015020473
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License Number State | MO
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