Search › Missouri › 363LC0200X
Jonathan Mayberry, AGACNP-BC
NPI 1679330419 · on the registry since 2024
Practice
- Address
- 615 S New Ballas Rd
Saint Louis, MO 63141 - Phone
- (314) 251-6000
- Organisation at this address
- Mercy Support Services
Pediatrix Medical Group
Mercy Labs St Louis Llc
Mercy Health Services, Llc
Kindred Hospitals East, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 765
Registry record
- Primary taxonomy
- 363LC0200X
363LC0200X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-28
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