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

Jennifer Southward, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1790100089

Jennifer Southward, CPNP is a Pediatric Nurse Practitioner in Cottleville, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

See every abbreviation used in this directory →

Practice location Address checks out

4525 Mid Rivers Mall Dr Ste 40
Cottleville, MO 63376-2820
Phone: (636) 229-3370
Fax: (636) 229-3367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2013037116 (MO)

Record details

NPI number1790100089
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedFebruary 24, 2014
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026