Individual
MS. LATISHA TRENICE STENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
8106 CAROL DR, EAST SAINT LOUIS, IL 62203-1838
(618) 558-0920
Mailing address
8106 CAROL DR, EAST SAINT LOUIS, IL 62203-1838
(618) 558-0920
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020013544
MO
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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