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

Renitra Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1144399270

Renitra Jackson, FNP is a Nurse Practitioner in Hazelwood, Missouri. Qualified in 2003, 23 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
23
Licensed in
MO
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

637 Dunn Rd Ste 102A
Hazelwood, MO 63042-1755
Phone: (314) 831-8600
Fax: (314) 839-5596
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2000164715 (MO)

Record details

NPI number1144399270
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing addressPo Box 776084, Chicago, IL 60677-0019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Hazelwood