Individual
JACLYN REINAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10012 KENNERLY RD, SUITE 403, SAINT LOUIS, MO 63128-2197
(314) 880-6676
(314) 842-4372
Mailing address
10012 KENNERLY RD, SUITE 403, SAINT LOUIS, MO 63128-2197
(314) 880-6676
(314) 842-4372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015008640
MO
Other
Enumeration date
03/24/2015
Last updated
04/07/2016
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