Provider Demographics
NPI:1306715172
Name:WYMS, JOCELYN DENNAE (MSN-ED, RN, AGNP-C)
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:DENNAE
Last Name:WYMS
Suffix:
Gender:F
Credentials:MSN-ED, RN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11133 DUNN RD OFC 2426
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-6163
Mailing Address - Country:US
Mailing Address - Phone:314-225-3873
Mailing Address - Fax:314-653-7050
Practice Address - Street 1:11133 DUNN RD OFC 2426
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-6163
Practice Address - Country:US
Practice Address - Phone:314-225-3873
Practice Address - Fax:314-653-7050
Is Sole Proprietor?:No
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025045768207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine