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JEANNIE A LUCAS MSN FNP
NPI 1033121645
Nurse Practitioner - Family in Columbia, MO

Active since August 12, 2006
1605 E BROADWAY, SUITE 302, COLUMBIA, MO 65201(573) 815-7119(573) 815-7116 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannie A Lucas Msn Fnp NPPES

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

JEANNIE A LUCAS MSN FNP (NPI 1033121645) is an individual family provider in Columbia, Missouri, licensed in Missouri (095253) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1033121645
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEANNIE A LUCASCredential: MSN FNP
Location Address1605 E BROADWAY, SUITE 302Columbia, MO 65201-8023
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (573) 815-7119 · Fax (573) 815-7116
Phone(573) 815-7119
Fax(573) 815-7116
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateMarch 5, 2012
✔ NPI 1033121645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 095253
1605 E BROADWAY, Columbia, MO 65201
Open in Google Maps ↗

Other Names 1

Former Name (1)Jeannie A Roderick

Other Identifiers 1

Medicare PIN127400001MO

Other Providers at the Same Location NPPES 20

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

COLUMBIA PRIMARY CARE ASSOCIATES INC
Specialist
1605 E BROADWAY, SUITE 280
COLUMBIA, MO 65201
Boone County (573) 815-8155
DR. CHARLES P. BONDURANT M.D.
Neurological Surgery
1605 E BROADWAY, SUITE 100
COLUMBIA, MO 65201
Boone County (573) 815-4242
COLUMBIA GASTROENTEROLOGY & LIVER ASSOCIATES, LLC
Internal Medicine (Gastroenterology)
1605 E BROADWAY, SUITE 250
COLUMBIA, MO 65201
Boone County (573) 449-8680
REDONDA MARSHALL MSN, APRN, BC,FNP
Nurse Practitioner (Family)
1605 E BROADWAY, STE 110
COLUMBIA, MO 65201
Boone County (573) 815-8130
EMILY S. WINTER PA
Physician Assistant
1605 E BROADWAY, SUITE 300
COLUMBIA, MO 65201
Boone County (573) 256-7700
CHAS PHYSICIAN SERVICES, LLC
Internal Medicine (Pulmonary Disease)
1605 E BROADWAY, SUITE 110
COLUMBIA, MO 65201
Boone County (573) 815-7119
DR. EUNICE ANN HAI HUAT WONG M.D.
Internal Medicine (Infectious Disease)
1605 E BROADWAY, STE. 110
COLUMBIA, MO 65201
Boone County (573) 815-8130
DR. BRITTANY KAMMERICH MD
Family Medicine
1605 E BROADWAY, STE 110
COLUMBIA, MO 65201
Boone County (573) 815-8130

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 Jeannie Lucas's NPI number?

The NPI number for Jeannie Lucas is 1033121645. It was assigned to this individual provider in the NPPES registry on August 12, 2006. The provider is also known as Jeannie A Roderick.

Where is Jeannie Lucas located?

Jeannie Lucas practices at 1605 E Broadway Suite 302, Columbia, MO 65201. The listed phone number is (573) 815-7119.

What is Jeannie Lucas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jeannie Lucas was last updated on March 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.