JANNYSSE ELIZABETH GRAY


Address: 4580 S Lindbergh Blvd, South County Health Center, Saint Louis, MO 63127-1810
Phone: 3148421300

JANNYSSE ELIZABETH GRAY (NPI# 1285798280) 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) 1285798280
Entity Type Individual
Full Name JANNYSSE ELIZABETH GRAY
Credential RN
Practice Address 4580 S Lindbergh Blvd
South County Health Center
Saint Louis
MO 63127-1810
Practice Telephone 3148421300
Practice Fax Number 3148426431
Mailing Telephone 3148421300
Mailing Fax Number 3148426431
Enumeration Date 2006-12-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
2005032433 MO Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO EMPLOYEE ID 17378 01

Office Location

Street Address 4580 S LINDBERGH BLVD
SOUTH COUNTY HEALTH CENTER
City SAINT LOUIS
State MO
Zip Code 63127-1810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811965619 Tonya E Little Family Medicine 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2006-03-09
1265969869 Katee Verna-lynn Thornton Social Worker 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2017-05-15
1174062178 Labone LLC Clinical Medical Laboratory 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2017-02-23
1225392087 Sarah Christine Gebauer Family Medicine 4580 S Lindbergh Blvd, Saint Louis, MO 63127 2012-06-26
1487940078 Emily Drazinski Doucette Family Medicine 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2011-06-22
1497931463 Nancy Schaefer Long Pediatrics 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2008-01-21
1871707695 Nancy Lee Keller Dietitian, Registered 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2007-05-10
1053437905 Christine Hamill Stellner Dietitian, Registered 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2007-03-22
1083730774 Caroline Margaret Mary Van Marrelo Dietitian, Registered 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2007-03-22
1417080987 Gretchen Mary Engel Dental Hygienist 4580 S Lindbergh Blvd, Saint Louis, MO 63127-1810 2007-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730698374 Advanced Surgical Center of Sunset Hills LLC Clinic/Center 4594 S Lindbergh Blvd, Saint Louis, MO 63127 2017-09-27
1811382179 Robert Paul Hintze Dentist 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 2015-04-03
1639560782 Bwell Pharmacy LLC Pharmacy 12128 Gravois Road, St.louis, MO 63127 2015-02-11
1043612773 Braham Dev Dewan Internal Medicine 9917 Grandview Forest Court, Saint Louis, MO 63127 2014-09-25
1639518673 Jonathan Yoon Otolaryngology 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 2013-06-24
1639515315 Kathleen Mary Lowe Internal Medicine 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 2013-05-21
1366782088 Sunset Hills Family Chiropractic LLC Clinic/Center 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 2013-02-15
1063743300 John Ralph Firth Dentist 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 2010-01-27
1174762850 Antonio I Longrais Dentist 4600 S. Lindbeigh 63127, St. Louis, MO 63127 2009-02-19
1447439716 George D Bankhead Dds Ms PC Dentist 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 2007-11-02
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689209405 Shannon Renee Hensler Registered Nurse 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 2020-03-12
1215413760 Becky Smith Schrama Registered Nurse 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 2018-07-18
1912248758 Pennie Denise Clinton Registered Nurse 6121 N Hanley Rd, Saint Louis, MO 63134-2003 2013-03-04
1467706549 Dawanda Buchanan Registered Nurse 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 2012-10-29
1568715605 Jeanette Rochelle Buckner Registered Nurse 6121 N Hanley Rd, Saint Louis, MO 63134-2003 2012-10-25
1518273879 Tammy Dixon Registered Nurse 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 2010-08-25
1609191071 Debra Ann Tebbe Registered Nurse 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 2010-03-29
1548591803 Judith Karen Spencer Registered Nurse 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 2010-01-26
1144559337 Shellietta Marie Mctyer Registered Nurse 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 2009-12-17
1205164324 Alice Mitchell Registered Nurse 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 2009-12-01
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Competitor

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City SAINT LOUIS
Zip Code 63127

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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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