Individual
MRS. JORDAN FEATHERSTON KENNAMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6299
Mailing address
5758 HUNTSPORT RD, SAINT LOUIS, MO 63129-4355
(314) 330-1198
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2023009034
MO
Other
Enumeration date
05/02/2023
Last updated
06/24/2024
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