Individual
JESICA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
16216 BAXTER RD, SUITE 100, CHESTERFIELD, MO 63017-4770
(636) 449-4700
(636) 449-2595
Mailing address
16216 BAXTER RD, STE 100, CHESTERFIELD, MO 63017-4778
(573) 291-0638
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2016035057
MO
Other
Enumeration date
09/29/2016
Last updated
11/30/2016
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