Individual
JEFFREY E BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN
Contact information
Practice address
1201 BELLEVUE AVE, SAINT LOUIS, MO 63117-1701
(314) 647-4488
(314) 647-6305
Mailing address
5000 CEDAR PLAZA PKWY, SUITE 350, SAINT LOUIS, MO 63128-3854
(314) 843-4333
(314) 843-4856
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
118805
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423840123
—
MO
Enumeration date
02/01/2007
Last updated
06/02/2008
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