Individual
MS. REBECCA SARAH LIGHT-PEARLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4444 FOREST PARK AVE, STE 2600, SAINT LOUIS, MO 63108-2212
(314) 286-1700
(314) 286-1777
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1700
(314) 286-1777
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2002025109
MO
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
2002025109
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420021299
—
MO
Enumeration date
02/06/2007
Last updated
04/17/2025
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