Individual
NATISHA JEANELL LONG-BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
261 DUNN RD, FLORISSANT, MO 63031-7928
(314) 830-2500
Mailing address
5919 CLEMENS AVE, SAINT LOUIS, MO 63112-2013
(314) 265-4205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017038732
MO
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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