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Individual

JODI WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A-GNP-C

Contact information

Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-8849
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2500
(314) 977-8849

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2019005549
MO
363LA2200X
Adult Health Nurse Practitioner
209019041
IL

Other

Enumeration date
04/15/2019
Last updated
09/02/2020
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