Individual
MRS. SARA JESSICA BUCKHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
232 S WOODS MILL RD STE 330, CHESTERFIELD, MO 63017-3467
(314) 205-6737
Mailing address
290 VILLAGE MEAD DR, BALLWIN, MO 63021-6129
(314) 707-0643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020008399
MO
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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