GREGORY MICHAEL JENNINGS (NPI# 1245735497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245735497 |
| Entity Type | Individual |
| Full Name | GREGORY MICHAEL JENNINGS |
| Credential | APRN |
| Practice Address |
1120 Shackelford Rd Florissant MO 63031-4369 |
| Practice Telephone | 3148305805 |
| Practice Fax Number | 3148305806 |
| Mailing Telephone | 3148305805 |
| Mailing Fax Number | 3148305806 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018003488 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209017407 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 209017407 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285686121 | Gregory D. Jennings | Dentist | 1518 S 3rd St, Terre Haute, IN 47802-1012 | 2006-05-17 |
| Street Address |
1120 SHACKELFORD RD |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63031-4369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151097 | Caroline Werner | Obstetrics & Gynecology | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2005-08-19 |
| 1578027488 | Alexandria Bain | Physician Assistant | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2019-01-24 |
| 1134625999 | Julie Ann Shelton | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2018-04-02 |
| 1558810838 | Kelly Briggs | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2016-09-27 |
| 1639623168 | Teresa Rush | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2016-08-12 |
| 1831591403 | Lindsey O'bryant | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2014-09-25 |
| 1407295314 | Kristin Leigh Wheeler | Obstetrics & Gynecology | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2013-06-25 |
| 1871931113 | Gia M. Patel | Family Medicine | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2013-06-09 |
| 1235332727 | Rosemary Gaertner | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2007-06-11 |
| 1437279064 | Yakima Young-shields | Nurse Practitioner | 1120 Shackelford Rd, Florissant, MO 63031-4369 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528550019 | A Precious Home Care Solution Cds LLC | Home Health | 2367 Periwinkle Court, Florisant, MO 63031 | 2018-05-31 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| 1841696648 | Deandra's Angels Home Care | Home Health | 1985 Lindsay Lane, Florissant, MO 63031 | 2014-11-06 |
| 1871907378 | Daniel Joseph Watson | Ophthalmology | 900 N Highway 67 St, Florissant, MO 63031 | 2014-06-12 |
| 1124449954 | Edgar Micere | Occupational Therapy Assistant | 1 Paul Place Ct, Florissant, MO 63031 | 2013-12-20 |
| 1699019190 | Dushanas Touch of Love Transportation L.l.c | Non-emergency Medical Transport (VAN) | 3011 Oriental Dr, Florissant, MO 63031 | 2012-11-21 |
| 1790038321 | Pleasant Solutions Home Health Care,llc | Community Based Residential Treatment Facility, Mental Illness | 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 | 2012-10-19 |
| 1114279460 | Access Dental & Dentures LLC | Dentist | 565 Howdershell Rd, Florissant, MO 63031 | 2012-10-11 |
| 1982980843 | Lauren Heimberger | Pharmacist | 15390 New Halls Ferry, Florissant, MO 63031 | 2011-10-24 |
| 1578878732 | North County Adult Center LLC | Registered Nurse | 500 Greenway Manor Dr, Florissant, MO 63031 | 2010-08-12 |
| Find all providers in zip 63031 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930313 | Laronda M Cutts | Nurse Practitioner | 1250 Saint Louis St, Florissant, MO 63031-4837 | 2020-04-15 |
| 1003453028 | Alaina Kamkwalala | Nurse Practitioner | 14426 Jamestown Bay Dr, Florissant, MO 63034-1744 | 2019-12-10 |
| 1922567221 | Fatou Thiam | Nurse Practitioner | 2955 Willow Creek Estates Dr, Florissant, MO 63031-1665 | 2019-03-16 |
| 1891263190 | Joy Ugonma Ekenga | Nurse Practitioner | 1240 Saint Patrice Ln, Florissant, MO 63031-7926 | 2018-11-05 |
| 1194208736 | Deanna L Mcnulty | Nurse Practitioner | 18172 County Road 1, Florissant, CO 80816-9668 | 2018-09-10 |
| 1518440189 | Raishelle Lavette Willis | Nurse Practitioner | 2695 Mockingbird Ln, Florissant, MO 63031-3711 | 2018-09-10 |
| 1871027516 | Shunta Lavette Johnson | Nurse Practitioner | 385 Saint Edward Ln, Florissant, MO 63033-5460 | 2017-04-19 |
| 1609319144 | Jeanetta Stomer | Nurse Practitioner | 3391 N Highway 67, Florissant, MO 63033-1604 | 2016-12-01 |
| 1720466246 | Angela Skurat | Nurse Practitioner | 2650 Mockingbird Ln, Florissant, MO 63031-3712 | 2015-05-16 |
| 1306285986 | Samara Dalvinia Harrell | Nurse Practitioner | 1225 Graham Rd Ste C-2320, Florissant, MO 63031-8030 | 2013-06-18 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63031 |
Please comment or provide details below to improve the information on GREGORY MICHAEL JENNINGS.
| 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.