Jennifer DO, MD
Individual provider Active NPI Family Medicine Physician · Troy, MO
NPI 1780501239 · NPPES record last updated Jul 3, 2026
Key facts
- NPI
- 1780501239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2025044599 (MO)
- Practice address
- 425 E Cherry St
Troy, MO 63379-1407 - Phone
- (858) 281-1068
- NPI assigned
- Jul 3, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2025044599 | MO | Yes |
Addresses
Primary practice location
425 E Cherry St
Troy, MO 63379-1407
Mailing address
425 E Cherry St
Troy, MO 63379-1407
Other providers in Troy, MO
- Kimberly Ann Dejoe
- Kyley Samantha Dermody
- Crystal Louise Diffee
- Heather S Dixon
- Lynette Faye Dixon
- Benjamin Eugene Dorenkamp
- Amanda L Drain
- Daniel L Duelm
- Lisa C Dugan
- E3 Counseling Services, LLC
All providers in Troy, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.