Search › Missouri › 363LA2200X
Jessica Latham, AGNP-C
NPI 1073980611 · on the registry since 2015
Practice
- Address
- 1133 Dunn Rd
Suite 2335
St Louis, MO 63136 - Phone
- (314) 653-5007
- Fax
- (314) 653-5007
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 146D00000X
163WE0003X - Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri