Individual
JESSICA MARIE KNOBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5501 DELMAR BLVD STE B560, SAINT LOUIS, MO 63112-3084
(314) 833-4030
Mailing address
5501 DELMAR BLVD, SAINT LOUIS, MO 63112-3054
(314) 833-4030
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2024047471
MO
Other
Enumeration date
11/22/2024
Last updated
12/04/2024
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