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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JILL MARIE IMMETHUN
NPI 1477486595
Nurse Practitioner - Family in Saint Louis, MO

Active since June 08, 2026
7334 S LINDBERGH BLVD, SAINT LOUIS, MO 63125(314) 892-8352 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jill Marie Immethun NPPES

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

JILL MARIE IMMETHUN (NPI 1477486595) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2014002527) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1477486595
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILL MARIE IMMETHUN
Location Address7334 S LINDBERGH BLVDSaint Louis, MO 63125-4522
Mailing Address502 Alpine DrWaterloo, IL 62298-1082 · (314) 495-8604
Phone(314) 892-8352
Sole ProprietorYes
Enumeration DateJune 8, 2026
Last NPPES UpdateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1477486595 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 · 2014002527
7334 S LINDBERGH BLVD, Saint Louis, MO 63125
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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.

ABISOLA E ABIMBOLA
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
St. Louis County (866) 389-2727
MRS. ASHLEY MARIE KING F.N.P
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-8352
JASPER F GRIPPI PHARMD
Pharmacist
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-8356
RAIZAL LACAYA FNP-BC
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-8352
DR. NATHAN ROBERT BROCKMEIER PHARM D
Pharmacist
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-8356
SONIA MEJIA-RAY NP
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-8352
LYNDSY WEILBACHER NP-C
Nurse Practitioner (Family)
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-8352
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy
7334 S LINDBERGH BLVD
SAINT LOUIS, MO 63125
St. Louis County (314) 892-8356

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 Jill Immethun's NPI number?

The NPI number for Jill Immethun is 1477486595. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Jill Immethun located?

Jill Immethun practices at 7334 S Lindbergh Blvd, Saint Louis, MO 63125. The listed phone number is (314) 892-8352.

What is Jill Immethun'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 Jill Immethun was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.