MS. JEANNE S SHORT PNP
NPI 1396763082
Nurse Practitioner - Pediatrics in Wentzville, MO

Active since July 18, 2006
1413 WENTZVILLE PKWY, WENTZVILLE, MO 63385(636) 332-5400(636) 332-5404 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jeanne S Short Pnp NPPES

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

MS. JEANNE S SHORT PNP (NPI 1396763082) is an individual pediatrics provider in Wentzville, Missouri, licensed in Missouri (073396) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1396763082
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. JEANNE S SHORTCredential: PNP
Location Address1413 WENTZVILLE PKWYWentzville, MO 63385-3407
Mailing Address1413 Wentzville PkwyWentzville, MO 63385-3407 · (636) 332-5400 · Fax (636) 332-5404
Fax(636) 332-5404
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 28, 2013
NPI 1396763082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MO · 073396
1413 WENTZVILLE PKWY, Wentzville, MO 63385

Other Identifiers 3

Medicare UPINQ29845
Medicaid$$$$$$$$$001IL
Medicare PIN822730381

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Pediatrics)
1413 WENTZVILLE PKWY
WENTZVILLE, MO 63385
Clinic/Center (Urgent Care)
1413 WENTZVILLE PKWY
WENTZVILLE, MO 63385
Nurse Practitioner (Pediatrics)
1413 WENTZVILLE PKWY
WENTZVILLE, MO 63385

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 Jeanne Short's NPI number?

The NPI number for Jeanne Short is 1396763082. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jeanne Short located?

Jeanne Short practices at 1413 Wentzville Pkwy, Wentzville, MO 63385. The listed phone number is (636) 332-5400.

What is Jeanne Short's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jeanne Short was last updated on February 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.