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Individual

JENNIFER LEIGH GWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
555 WASHINGTON SQ, WASHINGTON, MO 63090-5343
(636) 392-2209
(636) 206-8027
Mailing address
1 UNIVERSITY PLZ MSC 8100, CAPE GIRARDEAU, MO 63701-4710
(573) 651-2270
(573) 986-6030

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
132417
MO
363LF0000X
Family Nurse Practitioner
RN132417
MO

Other

Enumeration date
04/26/2007
Last updated
12/06/2023
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