Jessica Lynn Riney
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
4249 Clayton Ave
Saint Louis
, Missouri 63110-1718
Jessica Lynn Riney
Nurse Practitioner Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
4249 Clayton Ave
Saint Louis
, Missouri 63110-1718
(314) 273-6433
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jessica Lynn Riney
- 4249 Clayton Ave
- Saint Louis, MO
- Zip : 63110-1718
- Phone : (314) 273-6433
Second Address
- Jessica Lynn Riney
- 4249 Clayton Ave
- Saint Louis, MO
- Zip : 63110-1718
- Fax : (314) 747-8300
- Phone : (314) 273-6433
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209017823 | IL |
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 2020038133 | MO |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 2020038133 | MO |
National Provider Identifier
| NPI | 1013402544 |
|---|---|
| Provider Name | Jessica Lynn Riney |
| First Address | Saint Louis, MO 63110-1718 |
| Second Address | Saint Louis, MO 63110-1718 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2018 |
| Last Update Date | 17/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.