Individual
MRS. JENNIFER LEE FENDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3550 MCKELVEY RD, BRIDGETON, MO 63044-2535
(314) 741-0911
(314) 653-3670
Mailing address
523 GENTLE BREEZE DR, SAINT PETERS, MO 63376-3881
(636) 978-7004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016037964
MO
363LF0000X
Family Nurse Practitioner
209015595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609328798
—
MO
Enumeration date
10/25/2016
Last updated
12/06/2021
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