Individual
JENNA O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1225 GRAHAM RD, STE 1340C, FLORISSANT, MO 63031-8012
(314) 953-6093
(314) 953-6094
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 953-6093
(314) 953-6094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016003070
MO
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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