Individual provider · Type 1 NPI

Jamie Panozzo, CLC

Pediatric Registered Nurse · St. Louis, MO

NPI number 1710540281 Active

Practice location

1 Childrens Pl
St. Louis, MO 63110-1002

Mailing address

5920 Holyoke Dr
St. Louis, MO 63123-2714

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X2010032877 (MO)

Pediatric Registered Nurse: Definition to come...

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About NPI 1710540281

Jamie Panozzo, CLC's National Provider Identifier is 1710540281, issued on Apr 19, 2019. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in St. Louis, MO. The record was last updated on Apr 19, 2019.