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Individual

JAIME LEE SHOEMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8240
(314) 251-0175
Mailing address
625 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8240
(314) 251-0175

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209027371
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
2023014336
MO

Other

Enumeration date
01/30/2023
Last updated
03/21/2024
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