Provider Demographics
NPI:1477350338
Name:QUEST, JENNA LORRAINE (RN,BSN)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:LORRAINE
Last Name:QUEST
Suffix:
Gender:
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 E AUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:MO
Mailing Address - Zip Code:64772-3927
Mailing Address - Country:US
Mailing Address - Phone:816-922-2635
Mailing Address - Fax:
Practice Address - Street 1:1220 E AUSTIN ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:MO
Practice Address - Zip Code:64772-3927
Practice Address - Country:US
Practice Address - Phone:816-922-2635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016031006163WW0101X, 163WG0000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WC0400XNursing Service ProvidersRegistered NurseCase Management