Individual
MRS. JILL MALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS NS APN
Contact information
Practice address
621 SOUTH NEW BALLAS ROAD, ST 483A, ST LOUIS, MO 63141
(314) 251-4966
(314) 251-4588
Mailing address
16 QUAILWAYS DRIVE, ST LOUIS, MO 63141
(314) 993-3699
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
27167905
MO
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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