Jennifer Michelle Eickhoff, FNP-BC, MSN ATC, LAT
Nurse Practitioner, Family in Saint Peters, MO. Individual provider (NPI-1).
NPI number1316155591
StatusActive
Last updated in NPPESMar 19, 2013
Details
- NPI
- 1316155591
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Michelle Eickhoff
- Credential
- FNP-BC, MSN ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2007
- Last updated
- Mar 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2011010505 | MO | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2006029926 | MO |
Practice location
112 Piper Hill Dr Ste 9Saint Peters, MO 63376-1690
Phone 636-441-3444
Mailing address
112 Piper Hill Dr Ste 9Saint Peters, MO 63376-1690
Phone 636-441-3444
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