Jean Wesley St. John, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

2005077

Practice address

1025 Morehead Medical Dr
Suite 500
Charlotte, NC 28204-2963

Phone

(704) 355-4599

Fax

(704) 355-1844

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1235277138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32861",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282322861",
            "telephone_number": "704-355-4599",
            "fax_number": "704-355-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR",
            "address_2": "SUITE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042963",
            "telephone_number": "704-355-4599",
            "fax_number": "704-355-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "JEAN",
        "middle_name": "WESLEY",
        "name_prefix": "Mrs.",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": "2005077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria St Germain, DC
• Mary Marston St John, L.AC., DIPOM
• St Lazarus Behavioral Health PC
• St. Francis of Charlotte Inc.
• Kelly B St. George, FNP
• Mary St. John, MMS, PA-C
• Gregory St. Martin, MA, NCC
• St. Mary'S Home Care Services, Inc
• St. Mary'S Home Care Services, Inc.
• St. Michael'S Residential & Community Services, Inc.

• Genetic Counselor (M.S.) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Genetic Counselor (M.S.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.