Individual
JAMIE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
1782 S. MORELAND RD, EDWARDSVILLE, IL 62025-6202
(618) 580-7788
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2017006967
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209015705
IL
Other
Enumeration date
01/30/2017
Last updated
03/04/2025
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