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Individual

JAMELA LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4100 UNION BLVD, UNIT B, SAINT LOUIS, MO 63115-1225
(314) 531-1112
Mailing address
4100 UNION BLVD, SAINT LOUIS, MO 63115-1225
(314) 531-1112

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2015037584
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
2015037584
MO

Other

Enumeration date
03/01/2016
Last updated
06/19/2019
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