Search › Missouri › 363LP0200X
Jenny Furtak, PNP
NPI 1720265077 · on the registry since 2008
Practice
- Address
- 1465 S Grand Blvd
Saint Louis, MO 63104 - Phone
- (314) 577-5606
- Fax
- (314) 577-5379
- Organisation at this address
- Lifenet, Inc.
St Louis University
St Louis University
St Louis University
St Louis UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 531
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-13
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