MS. JENNIFER IRENE WOFFORD PNP NPI 1316274053

NPI Information

NPI: 1316274053
Provider Name: MS. JENNIFER IRENE WOFFORD, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1 CHILDRENS PL
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6018
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MS. Jennifer Irene Wofford, PNP is a pediatrics nurse practitioner in Saint Louis, MO. MS. Jennifer Irene Wofford, PNP NPI is 1316274053. 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:

1 CHILDRENS PL
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6018
Fax: (314) 454-2780

The NPI 1316274053 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2009 and was last updated on 10/27/2015.

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	363L00000X	Nurse Practitioner		2003016294	MISSOURI	No
2	363LP0200X	Nurse Practitioner	Pediatrics	2009034586	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$001	MEDICAID	ILLINOIS

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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