Individual
FRANCINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
4483 DUNCAN AVE, MAILSTOP 90-36-697, SAINT LOUIS, MO 63110-1111
(314) 454-7055
Mailing address
4483 DUNCAN AVE, MAILSTOP 90-36-697, SAINT LOUIS, MO 63110-1111
(314) 454-7055
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013010844
MO
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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