JENNIFER LEA NICOLE O'DONNELL (NPI# 1538635297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538635297 |
| Entity Type | Individual |
| Full Name | JENNIFER LEA NICOLE O'DONNELL |
| Credential | FNP-C |
| Practice Address |
13861 Manchester Road Town and Country MO 63011 |
| Practice Telephone | 6365560114 |
| Practice Fax Number | 3142703694 |
| Mailing Telephone | 6365560114 |
| Mailing Fax Number | 3142703694 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2010028309 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018040236 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043754104 | Jennifer O'donnell | Massage Therapist | 103 Tanager Way, Hampstead, NC 28443-3279 | 2016-12-08 |
| 1205468824 | Jennifer M. O'donnell | Counselor | 4000 Sawmill Rd, Doylestown, PA 18902-9667 | 2020-02-11 |
| 1497305049 | Jennifer Lynn O'donnell | Registered Nurse | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2019-09-16 |
| 1891350880 | Jennifer Lynn O'donnell | Nurse Practitioner | 2500 English Creek Ave, Egg Harbor Township, NJ 08234-5549 | 2019-05-05 |
| 1124682133 | Jennifer Marie O'donnell | Student in an Organized Health Care Education/Training Program | 500 Parnassus Ave, Mu 320 West, San Francisco, CA 94143-2203 | 2019-04-24 |
| 1255848859 | Jennifer O'donnell | Physician Assistant | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2018-01-04 |
| 1568919694 | Jennifer O'donnell | Registered Nurse | 1615 Delaware St, Longview, WA 98632-2367 | 2016-09-07 |
| 1336537612 | Jennifer Stroup O'donnell | Psychologist | 800 5th Ave Ste 600, Seattle, WA 98104 | 2015-01-08 |
| 1871996538 | Jennifer O'donnell | Speech-Language Pathologist | 1500 W Jefferson St, Springfield, OH 45506-1224 | 2014-10-08 |
| 1659787737 | Jennifer O'donnell | Nurse Practitioner | 110 Long Pond Rd, Plymouth, MA 02360-2642 | 2014-07-09 |
| Street Address |
13861 MANCHESTER ROAD |
| City | TOWN AND COUNTRY |
| State | MO |
| Zip Code | 63011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| 1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | TOWN AND COUNTRY |
| Zip Code | 63011 |
Please comment or provide details below to improve the information on JENNIFER LEA NICOLE O'DONNELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.