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JESSE R CHISUM BSN,RN
NPI 1013850072
Registered Nurse - Ambulatory Care in Saint Louis, MO

Active since April 13, 2026
4974 MANCHESTER AVE, SAINT LOUIS, MO 63110(314) 652-4100 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse R Chisum Bsn,rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE R CHISUM BSN,RN (NPI 1013850072) is an individual ambulatory care provider in Saint Louis, Missouri, licensed in Missouri (2010029883) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1013850072
Entity TypeIndividualMale
Primary Taxonomy163WP2201X
Provider Legal NameJESSE R CHISUMCredential: BSN,RN
Location Address4974 MANCHESTER AVESaint Louis, MO 63110-2010
Mailing Address915 N Grand BlvdSaint Louis, MO 63106-1621 · (314) 652-4100
Phone(314) 652-4100
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1013850072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in MO · 2010029883
4974 MANCHESTER AVE, Saint Louis, MO 63110
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NINA HILL
Registered Nurse (Diabetes Educator)
4974 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 652-4100
ST. LOUIS JC VAMC
Clinic/Center (VA)
4974 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (913) 578-4409
SHARIFA LIPSON
Registered Nurse (Ambulatory Care)
4974 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 289-6566
DR. SHARON LYNN LIGHTFOOT PHD
Psychologist (Clinical)
4974 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 289-6566
MS. GAIL ANN ESPARZA RN
Registered Nurse (Case Management)
4974 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 289-6566
YAFEI HUANG M.D.
Internal Medicine
4974 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 289-6566
MRS. DAWN MARIE COOK RN, BSN
Registered Nurse (Ambulatory Care)
4974 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 289-6566
TERESA KING ANP, GNP, FNP
Nurse Practitioner
4974 MANCHESTER AVE
SAINT LOUIS, MO 63110
St. Louis City (314) 289-6566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Chisum's NPI number?

The NPI number for Jesse Chisum is 1013850072. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Jesse Chisum located?

Jesse Chisum practices at 4974 Manchester Ave, Saint Louis, MO 63110. The listed phone number is (314) 652-4100.

What is Jesse Chisum's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Ambulatory Care, with taxonomy code 163WP2201X.

When was this NPI record last updated?

The NPPES record for Jesse Chisum was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.