Individual
JASMINE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5019 NORTHRUP AVE, SAINT LOUIS, MO 63110-2029
(314) 292-9888
Mailing address
5019 NORTHRUP AVE, SAINT LOUIS, MO 63110-2029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017020241
MO
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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