Jenna Jordan, | |
16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | |
(636) 458-0646 | |
Not Available |
Full Name | Jenna Jordan |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 16555 Manchester Rd, Wildwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932572393 | NPI | - | NPPES |
1932572393 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 2015032917 (Missouri) | Primary |
163W00000X | Registered Nurse | 2015010970 (Missouri) | Secondary |
Entity Name | Mercy Clinic East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Mailing Address | Practice Location Address |
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Jenna Jordan, 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 Ph: (636) 458-0646 | Jenna Jordan, 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 Ph: (636) 458-0646 |
Emily O'mara, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2068 Woodmoor Ridge Dr, Wildwood, MO 63011 Phone: 636-484-1248 | |
Barbara Lois Seep, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2638 Highway 109, Suite 101, Wildwood, MO 63040 Phone: 636-821-2500 Fax: 636-821-2210 | |
Mrs. Mary Patricia Tierney, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16555 Manchester Rd, Suite 110, Wildwood, MO 63040 Phone: 636-405-3155 Fax: 636-405-3162 | |
Meskerm Workiye Asfaw, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 589 Vintage Grove Ct, Wildwood, MO 63038 Phone: 314-477-8326 | |
Dr. Michelle Tiffany Wright, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16555 Machester Rd, Wildwood, MO 63040 Phone: 314-458-0646 | |
Courtney Cole, DNP, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17017 Falstone Mill Ct, Wildwood, MO 63040 Phone: 314-724-1184 | |
Mr. Lance Michael Varga, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4110 Highway 109, Wildwood, MO 63025 Phone: 314-267-9926 |