Provider Demographics
NPI:1538343744
Name:PREUSS, JANE L (RN)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:L
Last Name:PREUSS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1551 WALL ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3539
Mailing Address - Country:US
Mailing Address - Phone:636-669-2268
Mailing Address - Fax:636-669-2401
Practice Address - Street 1:400 1ST CAPITOL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2880
Practice Address - Country:US
Practice Address - Phone:636-669-2332
Practice Address - Fax:636-669-2375
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2008-05-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO110226163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO110226OtherMO RN LICENSE