Individual
JASMINE SHANTELLE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15484 JOST MAIN ST, FLORISSANT, MO 63034-2275
(314) 458-9525
Mailing address
40 MERAMEC TRAIL DR, BALLWIN, MO 63021-3331
(636) 923-2361
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2015031320
MO
Other
Enumeration date
05/10/2022
Last updated
05/11/2022
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