| Mrs Erica Lyn Jenks, FNP | |
|
660a S Truman Blvd, Festus, MO 63028-2235 | |
| (636) 931-3800 | |
| (636) 931-3911 |
| Full Name | Mrs Erica Lyn Jenks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 660a S Truman Blvd, Festus, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477799369 | NPI | - | NPPES |
| 2011040880 | Other | MO | NURSE PRACTIIONER LICENSE |
| 209007408 | Other | IL | CERTIFIED NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2011040880 (Missouri) | Primary |
| Entity Name | Mercy East Ambulatory Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Erica Lyn Jenks, FNP 18 Kings Crossing Ct, Saint Louis, MO 63129-5064 Ph: (314) 775-5125 | Mrs Erica Lyn Jenks, FNP 660a S Truman Blvd, Festus, MO 63028-2235 Ph: (636) 931-3800 |
Blair A Theis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007 | |
Zachary Vaugh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1078 Eagle Valley Dr, Festus, MO 63028 Phone: 314-488-3464 | |
Louise Jadwisiak, RN,CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007 | |
Tamra Lynn Crouch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337 | |
Ms. Michele J Soest, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 627 Westwood Dr S, Festus, MO 63028 Phone: 636-931-9066 | |
Jennifer Teresa French, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61 Ste 240a, Festus, MO 63028 Phone: 636-937-3337 Fax: 636-931-7671 | |
Susan Elizabeth Moser, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Suite G20, Festus, MO 63028 Phone: 636-933-8091 Fax: 636-933-8090 |