Individual
MRS. JESSICA PEARL MEI-JAN LUCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
625 S. NEW BALLAS ROAD, SUITE 2015, SAINT LOUIS, MO 63141
(314) 251-1100
(314) 251-1140
Mailing address
625 S. NEW BALLAS ROAD, SUITE 2015, SAINT LOUIS, MO 63141
(314) 251-1100
(314) 251-1140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012020364
MO
363L00000X
Nurse Practitioner
Primary
2016012526
MO
Other
Enumeration date
11/21/2016
Last updated
03/19/2018
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