Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA THERESA MEDLOCK, AGACNP-BC
Active Sole ProprietorREBECCA THERESA MEDLOCK, AGACNP-BC is a Gerontological Nurse Practitioner healthcare provider located in FENTON, Missouri. NPI 1023632932 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · FENTON, MO
Registration Details
- NPI Number
- 1023632932
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2020 (6.1477470758397 yrs)
- Last Updated
- Sep 11, 2025
- License
-
2019029631 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
736 MARCO VALLEY CTFENTON, MO, 630265318Browse MO providers · Browse ZIP 63026
- Phone
- 3144132187
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in FENTON, MO
| Name | Credential | NPI |
|---|---|---|
| KAITLYN MARIE SOLOMON | AGPCNP | 1760364434 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.