Jennifer K Kemp, PMHNP
Nurse Practitioner, Psych/Mental Health in Bridgeton, MO. Individual provider (NPI-1).
NPI number1417618059
StatusActive
Last updated in NPPESMar 8, 2022
Details
- NPI
- 1417618059
- Entity type
- Individual (NPI-1)
- Name
- Jennifer K Kemp
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2022
- Certification date
- Feb 20, 2022
- Last updated
- Mar 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 2022001675 | MO | Yes |
Practice location
12303 De Paul DrBridgeton, MO 63044-2512
Phone 314-344-6000
Mailing address
Po Box 3238Ballwin, MO 63022-3238
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