MRS. JENNY VIVIAN ANDRADE NPI 1376055004

NPI Information

NPI: 1376055004
Provider Name: MRS. JENNY VIVIAN ANDRADE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3904 S OLD HIGHWAY 94 STE 200
SAINT CHARLES, MO
ZIP 63304
Phone: (636) 244-0686
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MRS. Jenny Vivian Andrade is a family nurse practitioner in Saint Charles, MO. MRS. Jenny Vivian Andrade NPI is 1376055004. 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:

3904 S OLD HIGHWAY 94 STE 200
SAINT CHARLES, MO
ZIP 63304-850
Phone: (636) 244-0686

The enumeration date for this NPI number is 11/3/2017 and was last updated on 7/21/2022.

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		2013031244	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	20180009355	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: 5/5/2024

NPI Synchronization or Removal

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