JERMAINE ORLANDO MATTHEW LPN
NPI 1427257997
Licensed Practical Nurse in Saint Louis, MO

Active since July 16, 2007
4700 N HILLS LN, SAINT LOUIS, MO 63121(314) 591-8801 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jermaine Orlando Matthew Lpn NPPES

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

JERMAINE ORLANDO MATTHEW LPN (NPI 1427257997) is an individual licensed practical nurse in Saint Louis, Missouri, licensed in Missouri (2007012721) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1427257997
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJERMAINE ORLANDO MATTHEWCredential: LPN
Location Address4700 N HILLS LNSaint Louis, MO 63121-1030
Mailing Address4700 N Hills LnSaint Louis, MO 63121-1030 · (314) 591-8801
Sole ProprietorYes
Enumeration DateJuly 16, 2007
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
NPI 1427257997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MO · 2007012721
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
4700 N HILLS LN, Saint Louis, MO 63121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427257997, enumerated as an "individual" on July 16, 2007.

The provider is located at 4700 N HILLS LN SAINT LOUIS, MO 63121 and the phone number is (314) 591-8801.

Licensed Practical Nurse with taxonomy code 164W00000X.