Individual
DR. JESSICA CARSON JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9911 KENNERLY RD, SUITE A, SAINT LOUIS, MO 63128-2700
(314) 842-2020
Mailing address
9111 KENNERLY ROAD, STE A, SAINT LOUIS, MO 63128
(314) 842-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2012013574
MO
152W00000X
Optometrist
2686
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922395854
—
MO
Enumeration date
06/29/2011
Last updated
11/01/2013
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