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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA THERESA MEDLOCK, AGACNP-BC

Active Sole Proprietor

REBECCA 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 CT
FENTON, MO, 630265318
Browse 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.