NPI 1003112558

J Boatman LLC

Organisation Adult Psychiatric/Mental Health Registered Nurse Creve Coeur, MO

Practice location

Address: 11475 Olde Cabin Rd STE 120, Creve Coeur, MO 63141-7128
Phone: (314) 647-4488
Fax: (314) 647-6305
Mailing address: 5807 Mango Dr, Saint Louis, MO 63129-2243

Authorised official

Name: Jeffrey Boatman
Title: Owner
Phone: (314) 753-5184

Registered specialties

Adult Psychiatric/Mental Health Registered Nurse Primary

Nursing Service Providers Taxonomy 163WP0809X Licence 11805 (MO)

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Registry record

NPI: 1003112558
Entity type: Organization
NPI issued: 1 Feb 2011
Record last updated: 10 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.