Individual
JENELLE K BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Mailing address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021003532
MO
363LF0000X
Family Nurse Practitioner
209022811
IL
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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