Individual
MS. JAMIE NICOLE BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
11155 DUNN RD, DIV SURG CT ADULT CARDIO, STE 209E, SAINT LOUIS, MO 63136-6150
(314) 362-7260
(866) 272-2816
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7260
(866) 272-2816
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2023040159
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420132982
—
MO
Enumeration date
10/30/2023
Last updated
05/28/2025
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