Healthcare Provider Details

I. General information

NPI: 1861108185
Provider Name (Legal Business Name): JAIME LEE BIGGS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S NEW BALLAS RD
SAINT LOUIS MO
63141-8240
US

IV. Provider business mailing address

625 S NEW BALLAS RD
SAINT LOUIS MO
63141-8240
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-0175
  • Fax:
Mailing address:
  • Phone: 314-251-0175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2023014336
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209027371
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: