Individual
JUDITH MARIE JEGLIJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, MS, CDE
Contact information
Practice address
222 S WOODS MILL RD, SUITE 410N, CHESTERFIELD, MO 63017-3625
(314) 469-6224
(314) 469-0744
Mailing address
294 VILLAGE MEAD DR, BALLWIN, MO 63021-6129
(314) 469-6224
(314) 469-0744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN201534
CA
163WD0400X
Diabetes Educator Registered Nurse
RN046407
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
124987-21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166795
BC/BS
MO
Enumeration date
07/11/2006
Last updated
04/08/2014
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