# NP HEALTH INFORMATION STATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184116014
- **Authorized official:** JEANETTA RENEE STOMER NURSEPRACTITIONER (CO-OWNER)
- **Authorized official phone:** (314) 585-1002

## Contact information

- **Practice address:** 3391 N HIGHWAY 67, FLORISSANT, MO 63033-1604
- **Practice address phone:** (314) 585-1002
- **Practice address fax:** (314) 736-1247
- **Mailing address:** 3391 N HIGHWAY 67, FLORISSANT, MO 63033-1604
- **Mailing address phone:** (314) 585-1002
- **Mailing address fax:** (314) 736-1247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 2011023084 | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 2004029626 | MO | — |

## Other

- **Enumeration date:** 06/06/2018
- **Last updated:** 03/28/2020