Jennifer Lynn Dea

Individual provider Active NPI Case Manager/Care Coordinator · Piedmont, MO

NPI 1306756002 · NPPES record last updated Sep 8, 2026

Key facts

NPI
1306756002
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone
(573) 223-7649
Fax
(573) 223-7691
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

5 Sugar Creek Rd
Piedmont, MO 63957-9612

Mailing address

5 Sugar Creek Rd
Piedmont, MO 63957-9612
Phone (573) 223-7649

Other providers in Piedmont, MO

All providers in Piedmont, MO · Case Manager/Care Coordinator in Missouri

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.