Individual
SHERRILL M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 367-7848
Mailing address
5701 DELMAR BLVD, SAINT LOUIS, MO 63112-2617
(314) 367-7848
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
049743
MO
Other
Enumeration date
09/22/2006
Last updated
09/18/2014
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