JENNA MATTHEWS


Address: 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685
Phone: 6362445890

JENNA MATTHEWS (NPI# 1689210924) 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) 1689210924
Entity Type Individual
Full Name JENNA MATTHEWS
Other Name JENNA CHARBONEAU
Practice Address 4601 Executive Centre Pkwy Ste 300
Saint Peters
MO 63376-1685
Mailing Address 532 Pevely Heights Dr
Pevely
MO 63070-2990
Practice Telephone 6362445890
Mailing Telephone 3149712958
Enumeration Date 2019-11-21
Last Update Date 2019-11-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
2019028561 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AMERICAN ACADEMY OF NURSE PRACTITIONERS AG06190154 01

Other Providers JENNA MATTHEWS

NPI Name Taxonomy Address Enumeration
1427429174 Jenna Matthews Counselor 770 Woodlane Rd, Westampton, NJ 08060-3804 2015-10-07
1922369289 Jenna Lynne Matthews Developmental Therapist 321 Fortune Blvd, Milford, MA 01757-1750 2012-06-04
1780872960 Jenna Lynn Matthews Dietitian, Registered 2585 3rd Ave, Huntington, WV 25703-1642 2007-10-12

Office Location

Street Address 4601 EXECUTIVE CENTRE PKWY STE 300
City SAINT PETERS
State MO
Zip Code 63376-1685

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457958837 Ashish Javer Family Medicine 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 2020-10-08
1457972044 Mo Biologics Inc Family Medicine 4601 Executive Centre Pkwy Ste 300, Saint Peters, MO 63376-1685 2020-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275047946 Nicholas Christian Schultz Dentist 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 2017-11-16
1982120093 Carol Weber Speech-Language Pathologist 166 Boone Hills Dr., St Peters, MO 63376 2017-08-21
1619424744 Forefront Dermatology, S.c. Dermatology 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 2016-09-07
1508310632 Preferred Family Healthcare, Inc. Counselor 2120 Parkway Dr, Saint Peters, MO 63376 2016-08-05
1598130676 Delta Center Personal Attendant Services In Home Supportive Care 3833 Mcclay, Suite 61, St. Peters, MO 63376 2015-12-01
1427420314 Barbara Marlene Edelman Counselor 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 2015-10-30
1255740247 Claire Williams Dentist 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 2014-08-05
1184042855 Keith Wickenhauser Internal Medicine 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 2014-03-31
1821415233 Abby Link Physician Assistant 107 Piper Parkway, #150, St. Peters, MO 63376 2014-03-24
1225452105 Ashley Gagel Physical Therapist 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 2014-02-12
Find all providers in zip 63376

Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710948468 Eileen O Lamb Family Medicine 2730 S Highway 94, Saint Peters, MO 63303-5677 2006-03-31
1508827395 David A Peter Family Medicine 1600 Heritage Lndg, Ste 215, Saint Peters, MO 63303-8488 2006-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134728207 Bryanna Scherer Family Medicine 961 Weatherstone Dr, Saint Charles, MO 63304-4520 2020-10-20
1396210852 Catholic Charities of St. Louis Family Medicine 10120 Crest Rd., St. Joachim Catholic Church-attn: Rural Parish Clinic, Cadet, MO 63630 2018-10-10
1437686508 Paul Anthony Williams Jr. Family Medicine 4431 Mcpherson Ave, Saint Louis, MO 63108-2505 2017-05-18
1548516685 John Jung Family Medicine 3014 Blattner Dr, Cape Girardeau, MO 63703-6361 2012-07-26
1245485408 Leslie Arroyo Robins Family Medicine 20 Legends Parkway, Suite 110, Eureka, MO 63025 2008-12-01
1245494665 Jeffrey A Wool Family Medicine 1531 E 32nd St, Suite 1a, Joplin, MO 64804-2925 2008-07-15
1245407543 Harry D Haas Family Medicine 16703 N Calico Rd, Versailles, MO 65084-6434 2008-05-15
1194902510 Gary Hubert Campbell Family Medicine 21 Conway Springs Dr, Chesterfield, MO 63017-3411 2008-01-28
1568596336 Mahrukh Khan Family Medicine 7491 Big Bend Blvd., St. Louis, MO 63119 2007-03-15
1669525275 Stefan Scheidler Family Medicine 301 South Byp, Kennett, MO 63857-3252 2007-01-18
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAINT PETERS
Zip Code 63376

Improve Information

Please comment or provide details below to improve the information on JENNA MATTHEWS.

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.

Trending Searches