Jennifer Southward

CPNP | Nurse Practitioner - Pediatrics

4525 Mid Rivers Mall Dr Ste 40, Cottleville
  Missouri, 63376-2820
636-229-3370
May or may not accept Medicare Nurse Practitioner in Cottleville, Missouri.
Jennifer Southward is a Cottleville, Missouri based nurse practitioner who is specialized as Pediatrics NP. Active license number of Jennifer Southward is 2013037116 for Pediatrics NP in Missouri. Her current practice location is 4525 Mid Rivers Mall Dr Ste 40, Cottleville. Patients can reach her at 636-229-3370 or can fax her at 636-229-3367. Jennifer Southward is CPNP with specialization in Pediatrics NP and her NPI number (Unique professional ID assigned by NPPES) is 1790100089.
Jennifer Southward specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Jennifer Southward speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jennifer Southward
Specialization: Nurse Practitioner - Pediatrics (PNP)
Gender:Female
Credentials: CPNP
Practice Address:4525 Mid Rivers Mall Dr Ste 40, Cottleville,
Missouri, 63376-2820
Phone:636-229-3370
Fax:636-229-3367
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1790100089
NPI Enumeration Date: 24 Feb, 2014
NPI Last Update On: 20 May, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Southward are as mentioned below.
License NumberSpecializationStateStatus
2013037116Pediatrics NP MissouriPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jennifer Southward
4525 Mid Rivers Mall Dr Ste 40,
Cottleville, Missouri
Zip: 63376-2820
Phone Number: 636-229-3370
Fax Number: 636-229-3367
Patients can reach Jennifer Southward at 4525 Mid Rivers Mall Dr Ste 40, Cottleville, Missouri or can call to book an appointment on 636-229-3370.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.