Mayberry, Jonathan D

Mayberry, Jonathan D is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Mayberry, Jonathan D can be contacted via phone (314) 251-6000.

Contact Information

Primary practice address

615 S New Ballas Rd Saint Louis MO 63141-8221

Phone: (314) 251-6000

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine	363LC0200X	2015020871	Missouri

Profile Details

NPI number	1679330419
LBN Legal business name	Mayberry, Jonathan D
Credentials	AGACNP-BC
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 28th, 2024
Last updated	Feb 28th, 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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