Individual
JESSICA SUE ASHBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N 9TH ST, FESTUS, MO 63028-1364
(314) 605-7524
Mailing address
PO BOX 1012, EAGLE BUTTE, SD 57625-1012
(605) 964-0706
(605) 964-0545
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
2017008764
MO
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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