Search › Missouri › Pediatric Nurse Practitioner
Jennifer Southward, CPNP
NPI 1790100089 · on the registry since 2014
Practice
- Address
- 4525 Mid Rivers Mall Dr Ste 40
Cottleville, MO 63376 - Phone
- (636) 229-3370
- Fax
- (636) 229-3367
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Pediatric Nurse Practitioner
363LP0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-20
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