Individual
DR. JESSICA JACLYN JUSTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 N BALLAS RD, DIV ANES PAIN MGT, SAINT LOUIS, MO 63131-2329
(314) 996-7200
(314) 996-7376
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-7200
(314) 996-7376
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2018003375
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2018003375
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057650
—
MO
Enumeration date
06/21/2013
Last updated
04/17/2025
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