MRS. JENNIFER LYNN TIETJEN CPNP NPI 1831432814

NPI Information

NPI: 1831432814
Provider Name: MRS. JENNIFER LYNN TIETJEN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
12348 OLD TESSON RD
ST 160
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 467-3800
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MRS. Jennifer Lynn Tietjen, CPNP is a pediatrics nurse practitioner in Saint Louis, MO. MRS. Jennifer Lynn Tietjen, CPNP NPI is 1831432814. 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:

12348 OLD TESSON RD
ST 160
SAINT LOUIS, MO
ZIP 63128-251
Phone: (314) 467-3800

The NPI 1831432814 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 3/28/2013 and was last updated on 7/22/2016.

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	363LP0200X	Nurse Practitioner	Pediatrics	2013006671	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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