Individual
MR. JACOB JAMES CRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110-1002
(314) 454-2341
(314) 454-4345
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-2341
(314) 454-4345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015035376
MO
Other
Enumeration date
10/02/2015
Last updated
12/16/2025
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