| Jenna Jordan, | |
|
16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 | |
| (636) 458-0646 | |
| Not Available |
| Full Name | Jenna Jordan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 16555 Manchester Rd, Wildwood, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932572393 | NPI | - | NPPES |
| 1932572393 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2015032917 (Missouri) | Primary |
| 163W00000X | Registered Nurse | 2015010970 (Missouri) | Secondary |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Jordan, 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 Ph: (636) 458-0646 | Jenna Jordan, 16555 Manchester Rd, Suite 100, Wildwood, MO 63040-1220 Ph: (636) 458-0646 |
Maria Schepis, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Boathouse Dr, Wildwood, MO 63040 Phone: 314-605-9671 |
Barbara Lois Seep, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2638 Highway 109, Suite 101, Wildwood, MO 63040 Phone: 636-821-2500 Fax: 636-821-2210 |
Mrs. Mary Patricia Tierney, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16555 Manchester Rd, Suite 110, Wildwood, MO 63040 Phone: 636-405-3155 Fax: 636-405-3162 |
Mallory Keppel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18615 Hardt Rd, Wildwood, MO 63038 Phone: 314-609-0002 |
Meskerm Workiye Asfaw, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 589 Vintage Grove Ct, Wildwood, MO 63038 Phone: 314-477-8326 |
Dr. Michelle Tiffany Wright, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16555 Machester Rd, Wildwood, MO 63040 Phone: 314-458-0646 |
Amal Maher Morcos, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1025 Keystone Trail Dr, Wildwood, MO 63005 Phone: 636-236-1185 Fax: 636-236-1185 |