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Ms. Jessica Lynn Latham, AGNP-C
Adult Health Nurse Practitioner in St Louis, Missouri
NPI 1073980611

Jessica Lynn Latham is an Adult Health Nurse Practitioner based in Saint Louis, MO and is specialized in Adult Health. Jessica Lynn Latham practices in St Louis, MO and has the professional credentials of AGNP-C. The NPI Number for Jessica Lynn Latham is 1073980611 and holds a License No. 060472784 (Missouri).

The current practice location address for Jessica Lynn Latham is 1133 Dunn Rd, St Louis, MO and can be reached out via phone at 314-653-5007 and via fax at 314-653-5007.

Location: 1133 Dunn Rd, St Louis, MO, 63136-6119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073980611
Provider Name
Jessica Lynn Latham
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
1133 Dunn Rd, St Louis, MO, 63136-6119
Phone Number
314-653-5007
Fax Number
314-653-5007
Provider Enumeration Date
08/31/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073980611 05 MO
institution
Provider Business Practice Location Address Details
Address
1133 Dunn Rd
City
St Louis
State
Missouri
Zip
63136-6119
Phone Number
314-653-5007
Fax Number
314-653-5007
person
Provider Business Mailing Address Details
Address
1133 Dunn Rd
City
St Louis
State
Missouri
Zip
63136-6119
Phone Number
314-653-5007
Fax Number
314-653-5007
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Personal Emergency Response Attendant
Speciality
-
Taxonomy
146D00000X
License No.
2015028258 (Missouri)
Definition
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
2010040204 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
060472784 (Illinois)
Definition
Definition to come...
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