MRS. JESSICA CLAIRE LUTKER APRN NPI 1053919118

NPI Information

NPI: 1053919118
Provider Name: MRS. JESSICA CLAIRE LUTKER, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: MERCY CLINIC SURGICAL SPECIALISTS LLC

PECOS Registration: Yes

Address:
10012 KENNERLY RD STE 400
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 543-5999
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MRS. Jessica Claire Lutker, APRN is an adult health nurse practitioner in Saint Louis, MO with 4 years of experience. MRS. Jessica Claire Lutker, APRN NPI is 1053919118. 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:

10012 KENNERLY RD STE 400
SAINT LOUIS, MO
ZIP 63128-197
Phone: (314) 543-5999
Fax: (314) 543-5994

The NPI 1053919118 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 10/12/2020 and was last updated on 10/22/2020.

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	163W00000X	Registered Nurse		2014039582	MISSOURI	No
2	363LA2200X	Nurse Practitioner	Adult Health	2020034593	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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