Individual
JENNY A ZIPPRICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN MSN CS
Contact information
Practice address
3660 VISTA, 1034 S BRENTWOOD, ST LOUIS, MO 63117
(314) 726-1612
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-6828
(314) 977-6777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
108018
MO
364S00000X
Clinical Nurse Specialist
Primary
108018
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425071503
—
MO
Enumeration date
04/12/2006
Last updated
09/11/2025
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