Individual
COLEEN R. JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110-2138
(314) 531-5444
(314) 531-0063
Mailing address
6420 CLAYTON RD STE 290, SAINT LOUIS, MO 63117-1811
(314) 781-1505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011001943
MO
363LW0102X
Women's Health Nurse Practitioner
2011001943
MO
Other
Enumeration date
02/02/2011
Last updated
10/07/2022
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