Ms Jelya Ingrid Fatawu, PMHMP-BC - Nurse Practitioner in Wentzville, MO

Ms Jelya Ingrid Fatawu, PMHMP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Wentzville, Missouri. Ms Jelya Ingrid Fatawu is licensed to practice in Missouri (license number 2022035166) and her current practice location is 4 Liberty Grove Ct, Wentzville, Missouri. She can be reached at her office (for appointments etc.) via phone at (216) 246-5697.

NPI number for Ms Jelya Ingrid Fatawu is 1184331902 and her current mailing address is 4 Liberty Grove Ct, Wentzville, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184331902.

Contact Information

Ms Jelya Ingrid Fatawu, PMHMP-BC
4 Liberty Grove Ct,
Wentzville, MO 63385-7188
(216) 246-5697
Not Available

Map and Direction




Provider's Profile

Full NameMs Jelya Ingrid Fatawu
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4 Liberty Grove Ct, Wentzville, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184331902
  • Provider Enumeration Date: 11/01/2022
  • Last Update Date: 11/01/2022

Medical Identifiers

Medical identifiers for Ms Jelya Ingrid Fatawu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184331902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2022035166 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jelya Ingrid Fatawu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Jelya Ingrid Fatawu, PMHMP-BC
4 Liberty Grove Ct,
Wentzville, MO 63385-7188

Ph: () -
Ms Jelya Ingrid Fatawu, PMHMP-BC
4 Liberty Grove Ct,
Wentzville, MO 63385-7188

Ph: (216) 246-5697

Reviews and Comments


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