MRS. JENNIFER A GRIMMER


Address: 12360 Manchester Rd, Ste 100, Saint Louis, MO 63131-4302
Phone: 3149668500

MRS. JENNIFER A GRIMMER (NPI# 1548473879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548473879
Entity Type Individual
Full Name MRS. JENNIFER A GRIMMER
Credential PNP
Practice Address 12360 Manchester Rd
Ste 100
Saint Louis
MO 63131-4302
Practice Telephone 3149668500
Practice Fax Number 3149964499
Mailing Telephone 3149668500
Mailing Fax Number 3149964499
Enumeration Date 2007-05-07
Last Update Date 2019-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
140343 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 420020001 05

Other Providers JENNIFER GRIMMER

NPI Name Taxonomy Address Enumeration
1821303140 Jennifer Elizabeth Grimmer Nurse Practitioner Elm and Carlton Streets, Buffalo, NY 14263 2010-08-11

Office Location

Street Address 12360 MANCHESTER RD
STE 100
City SAINT LOUIS
State MO
Zip Code 63131-4302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972912087 Washington University Clinical Associates Blue Fish LLC Clinic/Center 12360 Manchester Rd, Suite 100, Saint Louis, MO 63131-4312 2014-08-04
1225303522 Kelly Dougherty Wassel Nurse Practitioner 12360 Manchester Rd, Ste 100, Saint Louis, MO 63131-4302 2012-03-20
1992996821 Varicose Vein Center of St Louis, Inc Specialist 12360 Manchester Rd, Ste 206, Saint Louis, MO 63131-4312 2007-08-06
1417151218 Yamuna Mathew Dds PC Clinic/Center 12360 Manchester Rd, Suite 201, Saint Louis, MO 63131-4312 2007-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568097954 Avalcare Inc Pharmacy 10431 Clayton Rd, Saint Louis, MO 63131 2020-03-06
1891331369 Life Clinic of Mo Dc PC Chiropractor 2051 South Lindbergh Blvd, Frontenac, MO 63131 2019-11-20
1447892542 Jand. Inc. Eyewear Supplier (Equipment, not the service) 30 S Lindbergh Blvd, Saint Louis, MO 63131 2019-10-10
1336797026 Justa Davis Dietitian, Registered 3015 North Ballas, Saint Louis, MO 63131 2019-08-27
1730695362 Curators of The University of Missouri Psychologist 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 2017-12-19
1770012031 Danielle Marie Hargate Specialist/Technologist 732 Timber Trail, Frontenac, MO 63131 2017-06-08
1285087429 Kathryn Parker Internal Medicine 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 2016-07-22
1437524360 Julie Ann Godefroid Nurse Practitioner 1010 Old Des Peres Road, St. Louis, MO 63131 2015-12-03
1073982435 Rebecca Baum Rainbolt Social Worker 12210 Clayton Rd, Saint Louis, MO 63131 2015-09-16
1518217322 Advanced Anesthesia and Pain Management, LLC Anesthesiology 12805 Topping Woods Estate Drive, St. Louis, MO 63131 2012-09-19
Find all providers in zip 63131

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689203390 Kathleen Rippe Dowd Nurse Practitioner 59 Pointer Ln, Saint Louis, MO 63124-2018 2020-04-04
1871126391 Kelsey Lonergan Nurse Practitioner 10915 Three Court Dr, Saint Louis, MO 63123-5959 2020-02-13
1003383324 Jennifer Marie Jacobi Nurse Practitioner 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 2018-10-24
1114381563 Kathleen B Shaughnessy Nurse Practitioner 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 2016-04-12
1396117636 Erika Kircher Nurse Practitioner 518 Gray Ave, Saint Louis, MO 63119-3742 2015-10-27
1780007963 Michelle Marie Dupont Nurse Practitioner 1465 South Grand Boulevard, Saint Louis, MO 63104 2014-01-24
1083924468 Carrie Anne Thrasher Nurse Practitioner 3915 Watson Rd Ste 202, Saint Louis, MO 63109-1251 2010-10-19
1265768576 Cheryl L Grave Nurse Practitioner 607 S New Ballas Rd Ste 2415, Saint Louis, MO 63141-8234 2009-10-20
1467639781 Dana Joann Aronin Nurse Practitioner 77 Progress Parkway, Biomedical Systems, Saint Louis, MO 63110-1002 2008-01-29
1265643282 Dawn Lee Garzon Nurse Practitioner 8888 Ladue Rd Ste 100, Saint Louis, MO 63124-2056 2007-05-24
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63131

Improve Information

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Dataset Information

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.

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