Jennifer Sewell

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2002023807 Issued in MO

Practice address

1101 Jamison St
Kirksville, MO 63501-3943

Phone

(660) 665-1962

NPI assigned

Jul 31, 2020

Last updated

Jul 31, 2020By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1457961831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OLD SOUTH RIVER RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034120",
            "telephone_number": "636-224-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JAMISON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013943",
            "telephone_number": "660-665-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2002023807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Judicial Circuit of Missouri Dba Bnjjc
• Second Judicial Circuit of Missouri Dba Bnjjc (Bruce Normile Juvenile Justice Center)
• Benjamin J. Seedorf, DPT
• Rachel Catherine Selby, AGACNP-BC
• Mallory D Selvy, MA, PLPC
• Emma Rose Shaffer
• Philip James Shara, DO
• Pranav Sharma
• Ricki Sheldon, DO
• James Ronald Sherstoff

• Licensed Practical Nurse in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.