Individual
JENNIFER LYNN DONNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
516 CAULKS HILL RD, SAINT CHARLES, MO 63304-7430
(314) 210-9925
Mailing address
516 CAULKS HILL RD, SAINT CHARLES, MO 63304-7430
(314) 210-9925
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
192542
MO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
04/15/2024
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