MEDICARE: ASHLEY MERCER

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	163W00000X	Registered Nurse	041586237	IL
2	163W00000X	Registered Nurse	2017016488	MO

General Provider Information

NPI Number	:	1194680777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MERCER

Provider Business Mailing Address
First Line	:	701 S NEW BALLAS RD STE 330
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8725
Country	:	US
Telephone Number	:	314-251-8850
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 S NEW BALLAS RD STE 330
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8725
Country	:	US
Telephone Number	:	314-251-8850
Fax Number	:

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

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “ ASHLEY MERCER ” Practice Location

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