MEDICARE: JOCELYN DENNAE WYMS MSN-ED, RN, AGNP-C

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	2025045768	MO

General Provider Information

NPI Number	:	1306715172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN DENNAE WYMS MSN-ED, RN, AGNP-C

Provider Business Mailing Address
First Line	:	11133 DUNN RD OFC 2426
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6163
Country	:	US
Telephone Number	:	314-225-3873
Fax Number	:	314-653-7050

Provider Business Practice Location Address
First Line	:	11133 DUNN RD OFC 2426
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-6163
Country	:	US
Telephone Number	:	314-225-3873
Fax Number	:	314-653-7050

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

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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