Individual
JACLYN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
300 MEDICAL PLZ STE 310, LAKE SAINT LOUIS, MO 63367-1484
(636) 625-2662
Mailing address
3747 FRENCH AVE, SAINT LOUIS, MO 63116-4044
(816) 721-4930
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2022014490
MO
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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