Individual
JUSTINA LOUISE TIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1 PARKVIEW PL, SAINT LOUIS, MO 63110-1038
(314) 362-5164
Mailing address
1 PARKVIEW PL, SAINT LOUIS, MO 63110-1038
(314) 362-5164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021039725
MO
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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