Individual
MRS. JENNIFER ANN STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1021 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3437
(636) 294-5900
Mailing address
31678 N STRINGTOWN RD, FORISTELL, MO 63348-3086
(314) 707-4596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017041083
MO
Other
Enumeration date
12/16/2017
Last updated
11/03/2020
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