Provider Demographics
NPI:1922122068
Name:MERCER, JENNIFER MAUREEN (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MAUREEN
Last Name:MERCER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 E 9TH ST
Mailing Address - Street 2:STE. F
Mailing Address - City:TRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:64683-2763
Mailing Address - Country:US
Mailing Address - Phone:660-339-7888
Mailing Address - Fax:
Practice Address - Street 1:1601 E 9TH ST
Practice Address - Street 2:STE. F
Practice Address - City:TRENTON
Practice Address - State:MO
Practice Address - Zip Code:64683-2763
Practice Address - Country:US
Practice Address - Phone:660-339-7888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007007093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor