Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Christine Pettis, LPN

Individual provider Licensed Practical Nurse · NPI 1053056143

Angela Christine Pettis, LPN is a Licensed Practical Nurse in Ballwin, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

1 Meramec Bluffs Dr
Ballwin, MO 63021-3309
Phone: (636) 923-2399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 2003026650 (MO)

Record details

NPI number1053056143
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedMay 3, 2022
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022

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