IMAGINE U WOUND CARE LLC NPI 1396612065

NPI Information

  • NPI: 1396612065
  • Provider Name: IMAGINE U WOUND CARE LLC
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Organization
  • Address: 6427 JESSE JACKSON AVE
    SAINT LOUIS, MO
    ZIP 63121
  • Phone: (314) 850-7241

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NPI Details

IMAGINE U WOUND CARE LLC is a licensed practical nurse in Saint Louis, MO. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. IMAGINE U WOUND CARE LLC NPI is 1396612065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6427 JESSE JACKSON AVE
SAINT LOUIS, MO
ZIP 63121-704
Phone: (314) 850-7241

The provider's authorized official is Konnisha Denise Lockett .
The authorized official title is Direct Manager and has the following contact phone number (314) 850-7241.

The enumeration date for this NPI number is 10/18/2025 and was last updated on 10/18/2025.

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
1164W00000XLicensed Practical NurseYes

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: 11/21/2025

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