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Individual

ANGELA M JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
9904 CLAYTON RD STE 135, SAINT LOUIS, MO 63124-1149
(314) 397-6805
Mailing address
9904 CLAYTON RD STE 135, SAINT LOUIS, MO 63124-1149
(314) 397-6805

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151969
MO
363LF0000X
Family Nurse Practitioner
Primary
2016023914
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022044304
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016023914
AANP
MO
01
2022044304
ANCC
MO
Enumeration date
10/23/2012
Last updated
03/08/2023
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