Individual
JEAN CURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12255 DEPAUL DR, SUITE 500, BRIDGETON, MO 63044
(314) 209-5180
(314) 209-5153
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2012018198
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012018198
LICENSE
MO
Enumeration date
04/10/2013
Last updated
11/11/2020
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