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Organization
JENNINGS MEDICAL CENTER INC
Active
Organization
JENNINGS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NARGIS J AHMAD (OFFICE MANAGER)
(314) 383-1100
Entity
Organization
Contact information
Practice address
6917 W FLORISSANT AVE, SAINT LOUIS, MO 63136-3638
(314) 383-1100
(314) 383-4929
Mailing address
6917 W FLORISSANT AVE, SAINT LOUIS, MO 63136-3638
(314) 383-1100
(314) 383-4929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
NULL
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
NULL
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
09/21/2005
Last updated
09/11/2025
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