| NPI | 1487509568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JARVIS Member 636-432-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-03-03 |