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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JESSICA LYNN LATHAM, AGNP-C

Active

MS. JESSICA LYNN LATHAM, AGNP-C is a Adult Health Nurse Practitioner healthcare provider located in ST LOUIS, Missouri. NPI 1073980611 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · ST LOUIS, MO

Registration Details

NPI Number
1073980611
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2015 (10.924122484948 yrs)
Last Updated
Jul 21, 2022
Licenses
060472784 (IL)
2010040204 (MO)
2015028258 (MO)

Practice Information

Address
1133 DUNN RD
SUITE 2335
ST LOUIS, MO, 631366119
Browse MO providers · Browse ZIP 63136
Phone
3146535007
Fax
3146535007
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
Additional Specialty
Emergency Nurse

Other Adult Health Nurse Practitioner Providers in ST LOUIS, MO

Name Credential NPI
MRS. EVE MARIE HOLZEMER ANP 1730157538
SYLVIA L LOMMEL ANP 1396827812
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.