Individual
MRS. PATRICIA A JENTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12700 SOUTHFORK RD, SUITE 220, SAINT LOUIS, MO 63128-3201
(314) 525-1200
Mailing address
1784 PRESTON CENTRE DR, FENTON, MO 63026-6610
(636) 861-3321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78333
MO
Other
Enumeration date
12/16/2006
Last updated
05/25/2010
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