institution
J Boatman Llc
Adult Psychiatric/Mental Health Registered Nurse in Creve Coeur, Missouri
NPI 1003112558

J Boatman Llc is an Adult Psychiatric/Mental Health Registered Nurse based in Saint Louis, MO and is specialized in Psychiatric/Mental Health, Adult. J Boatman Llc practices in Creve Coeur, MO. The NPI Number for J Boatman Llc is 1003112558 and holds a License No. 11805 (Missouri).

The current practice location address for J Boatman Llc is 11475 Olde Cabin Rd Ste 120, Creve Coeur, MO and can be reached out via phone at 314-647-4488 and via fax at 314-647-6305. You can also correspond with J Boatman Llc through the mailing address at 5807 MANGO DR, SAINT LOUIS, MO - 63129-2243 (mailing address contact number: 314-753-5184).

Location: 11475 Olde Cabin Rd Ste 120, Creve Coeur, MO, 63129-2243
institution
Provider Profile Details
NPI Number
1003112558
Provider Name
J Boatman Llc
Credential
Provider Entity Type
Organization
Address
11475 Olde Cabin Rd Ste 120, Creve Coeur, MO, 63129-2243
Phone Number
314-647-4488
Fax Number
314-647-6305
Provider Enumeration Date
02/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
580714 01 MO ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
11475 Olde Cabin Rd Ste 120
City
State
Zip
63141-7128
Phone Number
314-647-4488
Fax Number
314-647-6305
person
Provider Business Mailing Address Details
Address
11475 Olde Cabin Rd Ste 120
City
State
Zip
63141-7128
Phone Number
314-647-4488
Fax Number
314-647-6305
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
11805 (Missouri)
Definition
Definition to come...
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