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Individual

MS. JANET MARKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN-BC

Contact information

Practice address
4219 LACLEDE AVE, SUITE B, SAINT LOUIS, MO 63108-2814
(314) 286-4545
(314) 286-4542
Mailing address
4219 LACLEDE AVE, SUITE B, SAINT LOUIS, MO 63108-2814
(314) 286-4545
(314) 286-4542

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
144879
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
144879
MISSOURI STATE BOARD OF NURSING
MO
Enumeration date
10/01/2010
Last updated
10/01/2010
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