OrganizationActive
Birth and Wellness Center LLC
NPI 1467701805 · Advanced Practice Midwife · O Fallon, MO
Provider details
- NPI number
- 1467701805
- Entity type
- Organization
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessica Henman, Director(314) 369-8637
- License
- 100863 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
769 W Terra Ln
O Fallon, MO 63366-2432
Phone: (314) 369-8637
Fax: (877) 533-4456
Approximate (ZIP-level) locationGet directions
Mailing address
27880 Beverly Dr
Wright City, MO 63390-4449
Registry dates
- Enumerated
- 2012-08-30
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.