IndividualActive
Jordan Enzwiler
NPI 1336960772 · Critical Care Pediatric Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1336960772
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2024040004 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Childrens Pl
Saint Louis, MO 63110-1081
Phone: (314) 454-6000
Approximate (ZIP-level) locationGet directions
Mailing address
1037 Cooper Dr N
Columbia, MO 65201-7112
Registry dates
- Enumerated
- 2024-10-18
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.