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Organization
JOLLIE FIX LLC
Active
Organization
JOLLIE FIX LLC
Active
Other names
Jollie Psychiatry and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BOOKER PMHNP-BC (OWNER)
(636) 348-4206
Entity
Organization
Contact information
Practice address
1000 EDGEWATER PT # 106, LAKE ST LOUIS, MO 63367-2954
(636) 348-4206
Mailing address
1000 EDGEWATER PT # 106, LAKE ST LOUIS, MO 63367-2954
(636) 348-4206
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2026
Last updated
09/23/2026
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