Search › Missouri › 103K00000X
Jennifer Gronewold, BCBS
NPI 1326686478 · on the registry since 2019 · sole proprietor
Practice
- Address
- 24 Northport Plz
Hannibal, MO 63401 - Phone
- (573) 629-1519
- Organisation at this address
- North East Community Action Corp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri