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

Jennifer Wiley, RN, LMT

Individual provider Registered Nurse · NPI 1205666724

Jennifer Wiley, RN, LMT is a Registered Nurse in Lake Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

529 Parkgate Dr
Lake Saint Louis, MO 63367-4385
Phone: (573) 889-9864
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 2020040293 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2005007084 (MO)

Record details

NPI number1205666724
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , LMT
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

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