Individual
JUSTIN LUCAS SWEETIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
232 S WOODS MILL RD STE 110E, CHESTERFIELD, MO 63017-3467
(314) 542-4998
(314) 542-4739
Mailing address
7727 WESTON PL, RICHMOND HEIGHTS, MO 63117-2018
(314) 952-0879
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2020009325
MO
Other
Enumeration date
08/12/2020
Last updated
07/07/2022
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