JENNIFER SHINE HERTER

SAINT LOUIS, MO
NPI1720421175
Former NameJENNIFER SHINE MIDDENDORF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2013009799)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209010646)
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209010646)
163W00000X Registered Nurse
(Licence: MO  2004030088)
207LP2900X Anesthesiology, Pain Medicine
(Licence: IL  209010646)
Enumeration Date2013-04-15
Last Update Date2025-03-19
Business Address
Ms. JENNIFER SHINE HERTER ANP-C
11125 DUNN RD STE 100
SAINT LOUIS, MO 63136-6132
Phone number: 314-653-5000
Mailing Address
Ms. JENNIFER SHINE HERTER ANP-C
1 BRONZE POINTE BLVD STE 1A
SWANSEA, IL 62226-1045
Phone number: 618-233-7055