Individual
MS. JEANNE L WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
621 S NEW BALLAS RD, STE 368A, SAINT LOUIS, MO 63141-8232
(314) 872-7958
(314) 872-7938
Mailing address
621 S NEW BALLAS RD, STE 368A, SAINT LOUIS, MO 63141-8232
(314) 872-7958
(314) 872-7938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112305
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112305
MO STATE BOARD OF NURSING
MO
Enumeration date
11/10/2005
Last updated
01/18/2008
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