Individual
JEANETTE ROCHELLE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6121 N HANLEY RD, SAINT LOUIS, MO 63134-2003
(314) 679-7880
Mailing address
6121 N HANLEY RD, SAINT LOUIS, MO 63134-2003
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2012019037
MO
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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