JEANETTA STOMER (NPI# 1609319144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609319144 |
| Entity Type | Individual |
| Full Name | JEANETTA STOMER |
| Practice Address |
3391 N Highway 67 Florissant MO 63033-1604 |
| Practice Telephone | 3147361146 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2020-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2004029626 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3391 N HIGHWAY 67 |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63033-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116014 | Np Health Information Station LLC | Nurse Practitioner | 3391 N Highway 67, Florissant, MO 63033-1604 | 2018-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
| 1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
| 1689231169 | Patrice Edora Hall | Clinic/Center | 500 Greenway Manor, Florissant, MO 63033 | 2019-05-21 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
| 1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
| 1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
| 1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
| 1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
| 1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
| Find all providers in zip 63033 | ||||
| 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 |
| 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 |
| 1255453486 | Delores B Ware | Nurse Practitioner | 11935 Kingshead Drive, Florissant, MO 63033 | 2007-04-06 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63033 |
Please comment or provide details below to improve the information on JEANETTA STOMER.
| 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.