STEPHANIE NELLESEN FNP NPI 1003362021

NPI Information

  • NPI: 1003362021
  • Provider Name: STEPHANIE NELLESEN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 621 S NEW BALLAS RD STE 189A
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 251-6335

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NPI Details

Stephanie Nellesen, FNP is a family nurse practitioner in Saint Louis, MO. Stephanie Nellesen, FNP NPI is 1003362021. 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:

621 S NEW BALLAS RD STE 189A
SAINT LOUIS, MO
ZIP 63141-255
Phone: (314) 251-6335
Fax: (314) 251-5864

The NPI 1003362021 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 8/30/2016 and was last updated on 11/16/2018.

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
1363LF0000XNurse PractitionerFamily2016022548MISSOURIYes

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: 3/30/2025

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