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Individual

ABIGAIL JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
625 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141-8253
(314) 251-1700
(314) 251-1701
Mailing address
625 S NEW BALLAS RD STE 2015, SAINT LOUIS, MO 63141-8253
(314) 251-1700
(314) 251-1701

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017004142
MO
363LF0000X
Family Nurse Practitioner
Primary
2021026225
MO
363LF0000X
Family Nurse Practitioner
80411
KS

Other

Enumeration date
07/16/2019
Last updated
06/14/2023
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