MS. Jessica Lynn Latham, AGNP-C
MS. Jessica Lynn Latham, AGNP-C is a Nurse Practitioner in St. Louis, Missouri. Qualified in 2015, 11 years ago. Practices with Mercy Clinic Pain Management LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.
- Years since qualifying
- 11
- Licensed in
- IL, MO
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
1133 Dunn Rd Ste 2335St. Louis, MO 63136-6119
Phone: (314) 653-5007
Fax: (314) 653-5007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 2015028258 (MO) |
|---|---|
| Personal Emergency Response Attendant | Taxonomy 146D00000X · Licence 060472784 (IL) |
| Emergency Registered Nurse | Taxonomy 163WE0003X · Licence 2010040204 (MO) |
Record details
| NPI number | 1073980611 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | August 31, 2015 |
| Last updated in NPPES | July 21, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Mercy Clinic Pain Management Llc — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |