Jennifer Tenette Nichole Chatman

Primary specialty

Peritoneal Dialysis Registered NurseTaxonomy code 163WD1100X

License

2017012710 Issued in MO

Practice address

3635 Woodman Dr
Florissant, MO 63031-1159

Phone

(314) 495-3323

NPI assigned

Sep 7, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Tenette Nichole Davis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1205745924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 WOODMAN DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 WOODMAN DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311159",
            "telephone_number": "314-495-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "JENNIFER",
        "middle_name": "TENETTE NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "MO",
            "license": "2017012710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DAVIS",
            "middle_name": "TENETTE NICHOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kennyetta Chatman
• Salman Iftikhar Chaudhry, MD
• Haobin Chen, MD
• Joni L Chester
• Child Center - Marygrove

• Registered Nurse in Florissant, MO
• Providers in Florissant, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.