MRS. JESSICA L SHEEHAN GNP NPI 1467654772

NPI Information

NPI: 1467654772
Provider Name: MRS. JESSICA L SHEEHAN, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
12348 OLD TESSON RD STE 240
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 467-3900
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MRS. Jessica L Sheehan, GNP is a gerontology nurse practitioner in Saint Louis, MO with 17 years of experience. MRS. Jessica L Sheehan, GNP NPI is 1467654772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12348 OLD TESSON RD STE 240
SAINT LOUIS, MO
ZIP 63128-251
Phone: (314) 467-3900
Fax: (314) 467-3919

The NPI 1467654772 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 11/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	209007047	ILLINOIS	Yes
2	363L00000X	Nurse Practitioner		209007047	ILLINOIS	No
3	163WG0600X	Registered Nurse	Gerontology	209007047	ILLINOIS	No
4	363LP2300X	Nurse Practitioner	Primary Care	209007047	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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