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Jennifer H Parker

Physician Assistant in Fort Leonard Wood, MO. Individual provider (NPI-1).

NPI number1639971997
StatusActive
Last updated in NPPESDec 22, 2025

Details

NPI
1639971997
Entity type
Individual (NPI-1)
Name
Jennifer H Parker
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2025
Certification date
Dec 22, 2025
Last updated
Dec 22, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Phone 573-596-1490

Mailing address

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Fort Leonard Wood, MO

All 28 Physician Assistant providers in Fort Leonard Wood · All 558 providers in Fort Leonard Wood

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