Individual
JEFFREY THOMAS SHADRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
13655 RIVERPORT DR, MARYLAND HEIGHTS, MO 63043-4812
(314) 592-7000
Mailing address
4918 SILO HILLS DR, SPRINGFIELD, MO 65802-7121
(417) 844-2669
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2021044288
MO
363LG0600X
Gerontology Nurse Practitioner
2021044288
MO
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us