Nearest tenth-mile marker looks like 191.4 so it would be 191.
/looks at PDF
//sees roundabouts
///vomits
Yeah that's what I was thinking it would be. They still haven't updated the Google Maps or OSM, but they do have Streetview of the new bridge. The coordinates for the bridge are approximately (38.820134, -91.177658). Update: Google Maps has an updated satellite imagery but hasn't updated their maps yet. Nothing on OSM yet.