MEDICARE: JELENA BAJER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	2022042626	MO

General Provider Information

NPI Number	:	1053038448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JELENA BAJER

Provider Business Mailing Address
First Line	:	13655 RIVERPORT DR
Second Line	:
City	:	MARYLAND HEIGHTS
State	:	MO
Zip	:	63043-4812
Country	:	US
Telephone Number	:	314-583-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	12528 BIG BEND RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-5108
Country	:	US
Telephone Number	:	314-583-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2022
Last Update Date	:	10/26/2022

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Directions to “ JELENA BAJER ” Practice Location

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