Individual
MRS. JODIE RAE MARCANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-1700
(314) 362-9878
Mailing address
660 S EUCLID AVE, C B 8058, SAINT LOUIS, MO 63110-1010
(314) 362-1700
(314) 362-9878
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2010016473
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174772156
—
MO
Enumeration date
09/15/2008
Last updated
11/14/2016
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