Individual provider · Type 1 NPI
Jessica L. Sheehan, GNP
Gerontology Nurse Practitioner · St. Louis, MO
NPI number
1467654772
Active
Practice location
12348 Old Tesson Rd Ste 240
St. Louis, MO 63128-2251
Fax (314) 467-3919
Mailing address
PO Box 776084
Chicago, IL 60677-8586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209007047 (IL) |
| Nurse Practitioner | 363L00000X | 209007047 (IL) |
| Gerontology Registered Nurse | 163WG0600X | 209007047 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 209007047 (IL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1467654772
Jessica L. Sheehan, GNP's National Provider Identifier is 1467654772, issued on May 31, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis, MO. The record was last updated on Nov 6, 2023.