Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

J Boatman LLC

Organization Adult Psychiatric/Mental Health Registered Nurse · NPI 1003112558

J Boatman LLC is an Adult Psychiatric/Mental Health Registered Nurse in Creve Coeur, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11475 Olde Cabin Rd Ste 120
Creve Coeur, MO 63141-7128
Phone: (314) 647-4488
Fax: (314) 647-6305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 Bellevue Ave, St Louis, MO 63117 — (314) 647-4788

Specialties & licences

Adult Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0809X · Licence 11805 (MO)

Record details

NPI number1003112558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Boatman — Owner · (314) 753-5184
NPI enumeratedFebruary 1, 2011
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address5807 Mango Dr, Saint Louis, MO 63129-2243