Individual
MISS NICOLE LYNN CHUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3023 N BALLAS RD STE 150, SAINT LOUIS, MO 63131-2330
(314) 996-5287
Mailing address
3023 N BALLAS RD STE 150D, SAINT LOUIS, MO 63131-2319
(314) 996-5287
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2025004820
MO
Other
Enumeration date
02/28/2025
Last updated
11/05/2025
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