Individual
MRS. JEANINE MICHELLE WEINKAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
12977 N 40 DR STE 309, SAINT LOUIS, MO 63141-8654
(314) 301-9107
(314) 207-0261
Mailing address
5323 ROBERT AVE, SAINT LOUIS, MO 63109-4063
(314) 258-5220
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2018009356
MO
363LG0600X
Gerontology Nurse Practitioner
2018009356
MO
Other
Enumeration date
06/29/2018
Last updated
11/19/2024
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