Individual
JANE M. ALDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, LMT
Contact information
Practice address
2811 MAGNOLIA AVE, SAINT LOUIS, MO 63118-1427
(815) 546-6258
Mailing address
2811 MAGNOLIA AVE, SAINT LOUIS, MO 63118-1427
(815) 546-6258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041207215
IL
163W00000X
Registered Nurse
Primary
2022009960
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041207215
STATE OF ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
2022009960
STATE OF MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
01
—
45035292
NSNCB
—
Enumeration date
06/08/2024
Last updated
06/08/2024
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