Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER SOUTHWARD, CPNP
Active Sole ProprietorJENNIFER SOUTHWARD, CPNP is a Pediatric Nurse Practitioner healthcare provider located in FENTON, Missouri. NPI 1790100089 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · FENTON, MO
Registration Details
- NPI Number
- 1790100089
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2014 (12.430902966527 yrs)
- Last Updated
- Aug 5, 2025
- License
-
2013037116 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1203 SMIZER MILL RDFENTON, MO, 630263483Browse MO providers · Browse ZIP 63026
- Phone
- 6367171350
- Fax
- 6367171355
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in FENTON, MO
| Name | Credential | NPI |
|---|---|---|
| MS. CAROLYN SUE LUNDGREN | C.P.N.P. | 1083728240 |
| MISS AMANDA NICOLE BREEDLOVE | PNP | 1235486952 |
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.