Individual
GAHNTANUCH JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5800
Mailing address
5000 MANCHESTER AVE, SAINT LOUIS, MO 63110-2012
(314) 747-5866
(314) 747-5866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017021507
MO
363LF0000X
Family Nurse Practitioner
Primary
2023004935
MO
Other
Enumeration date
04/06/2023
Last updated
09/15/2025
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