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Individual

JASMINE ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017-2004
(636) 237-4775
Mailing address
112 UNIVERSAL DR, SAINT PETERS, MO 63376-4418

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015004570
MO

Other

Enumeration date
03/30/2026
Last updated
03/30/2026
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