MEDICARE: DR. JENNIFER MAUREEN MERCER DC

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	111N00000X	Chiropractor	2007007093	MO

General Provider Information

NPI Number	:	1922122068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER MAUREEN MERCER DC

Provider Business Mailing Address
First Line	:	1601 E 9TH ST
Second Line	:	STE. F
City	:	TRENTON
State	:	MO
Zip	:	64683-2763
Country	:	US
Telephone Number	:	660-339-7888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 E 9TH ST
Second Line	:	STE. F
City	:	TRENTON
State	:	MO
Zip	:	64683-2763
Country	:	US
Telephone Number	:	660-339-7888
Fax Number	:

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	04/23/2015

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