Individual
JAMIE LYNN SHEDELBOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6376
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/21/2005
Last updated
04/03/2024
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