Mayberry, Jonathan D

Mayberry, Jonathan D is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Mayberry, Jonathan D can be contacted via phone (314) 251-6000.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Phone: (314) 251-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 2015020871 Missouri

Profile Details

NPI number 1679330419
LBN Legal business name Mayberry, Jonathan D
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2024
Last updated Feb 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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