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Contact Information

MARY G EPPERSON, PNP
13001 N OUTER 40 RD
DIV NEUROLOGY PEDIATRICS, STE 1A
CHESTERFIELD, MO63017-5941
 Phone: 314-454-6120
 Fax: 314-454-4225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY G EPPERSON · (Female)

NPI # 1588095590
Status Active
Credentials PNP
Entity Individual
Enumeration date 12/02/2013
Last updated 04/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 103040
  • MO Medicaid 420011576
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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