Individual provider · Type 1 NPI

Jamison Ebert, AGNP

Nurse Practitioner · St. Louis, MO

NPI number 1447619465 Active

Practice location

625 S New Ballas Rd Ste 7063
St. Louis, MO 63141-8218

Specialties and licenses

Taxonomy	Code	License
Registered Nurse First Assistant	163WR0006X	2003018725 (MO)
Nurse Practitioner Primary	363L00000X	2018006932 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1447619465

Jamison Ebert, AGNP's National Provider Identifier is 1447619465, issued on Feb 18, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 20, 2022.