Organization · Type 2 NPI
J Boatman LLC
Adult Psychiatric/Mental Health Registered Nurse · Creve Coeur, MO
NPI number
1003112558
Active
Practice location
11475 Olde Cabin Rd Ste 120
Creve Coeur, MO 63141-7128
Fax (314) 647-6305
Mailing address
5807 Mango Dr
St. Louis, MO 63129-2243
Other practice locations
- 1201 Bellevue Ave, St. Louis, MO 63117 · (314) 647-4788
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 11805 (MO) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1003112558
J Boatman LLC's National Provider Identifier is 1003112558, issued on Feb 1, 2011. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Creve Coeur, MO. The record was last updated on Oct 10, 2022.