Individual
MRS. JESSICA ANN THOMURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14400 CLAYTON RD, BALLWIN, MO 63011-2713
(636) 207-1137
(314) 748-5919
Mailing address
14400 CLAYTON RD, BALLWIN, MO 63011-2713
(636) 207-1137
(314) 748-5919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2001016534
MO
Other
Enumeration date
12/22/2008
Last updated
01/02/2025
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