Individual
MS. JANE G HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1044 N MASON RD, DIV IM GERIATRIC MED, STE 330, SAINT LOUIS, MO 63141-6431
(314) 286-2080
(314) 286-2085
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-2080
(314) 286-2085
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014036825
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420108661
—
MO
Enumeration date
11/10/2014
Last updated
04/17/2025
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