Individual
JAMISON EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
625 S NEW BALLAS RD STE 7063, SAINT LOUIS, MO 63141-8218
(314) 251-4200
Mailing address
625 S NEW BALLAS RD STE 7063, SAINT LOUIS, MO 63141-8218
(314) 251-4200
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
2003018725
MO
363L00000X
Nurse Practitioner
Primary
2018006932
MO
Other
Enumeration date
02/18/2016
Last updated
09/20/2022
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