Bunn, Jamie Nicole

Bunn, Jamie Nicole is an individual health care provider with primary practice located at 11155 Dunn Rd Div Surg Ct Adult-Cardio, Ste 209E, Saint Louis MO 63136-6150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Bunn, Jamie Nicole can be contacted via phone (314) 355-3003.

Contact Information

Primary practice address
11155 Dunn Rd Div Surg Ct Adult-Cardio, Ste 209E Saint Louis MO 63136-6150
Phone: (314) 355-3003
Fax: (314) 747-0917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2023040159 Missouri

Profile Details

NPI number 1417729765
LBN Legal business name Bunn, Jamie Nicole
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2023
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417729765 NPPES
Missouri MEDICAID 420132982

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