Individual
MRS. JESSICA ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N 7TH ST, KENTLAND, IN 47951-1379
(219) 474-5464
Mailing address
300 E MCBEE AVE STE 401, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005144A
IN
Other
Enumeration date
09/26/2014
Last updated
09/10/2021
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