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

Mr. Jesse Aaron Champagne

Individual provider Family Nurse Practitioner · NPI 1114368511

Mr. Jesse Aaron Champagne is a Family Nurse Practitioner in Columbia, Missouri. Licensed in Louisiana and Missouri. Registered with an NPI since 2013.

Licensed in
LA, MO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

900 W Nifong Blvd Ste 101
Columbia, MO 65203-4467
Phone: (573) 815-6631
Fax: (573) 815-6634
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016004506 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP07350 (LA)

Record details

NPI number1114368511
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2013
Last updated in NPPESMay 3, 2016
Mailing address670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573

Other providers in Columbia