Individual
JENNIFER J. GRADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1343 NE SERVICE RD, WARRENTON, MO 63383-1387
(314) 851-1000
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 851-1000
(314) 851-4445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014007464
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420012618
—
MO
Enumeration date
03/12/2014
Last updated
06/10/2022
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