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

Jordan Mackenzie Enzwiler

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1336960772

Jordan Mackenzie Enzwiler is a Critical Care Pediatric Nurse Practitioner in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

1 Childrens Pl
Saint Louis, MO 63110-1081
Phone: (314) 454-6000
Show map & directions

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

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 2024040004 (MO)

Record details

NPI number1336960772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2024
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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