Individual
SHANNON E LEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3009 N BALLAS RD STE 227A, SAINT LOUIS, MO 63131-2308
(314) 996-7800
Mailing address
3009 N BALLAS RD STE 227A, SAINT LOUIS, MO 63131-2308
(314) 996-7800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020040253
MO
363LA2200X
Adult Health Nurse Practitioner
2020040253
MO
Other
Enumeration date
12/11/2020
Last updated
03/13/2023
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