Individual provider · Type 1 NPI

Jacqueline Niebylski, R.N.

Registered Nurse · St. Louis, MO

NPI number 1104173574 Active

Practice location

11133 Dunn Rd
St. Louis, MO 63136-6119

Call (314) 653-5000 Map

Mailing address

3138 Lafayette Ave
St. Louis, MO 63104-1437

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2009015737 (MO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104173574

Jacqueline Niebylski, R.N.'s National Provider Identifier is 1104173574, issued on Aug 5, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 5, 2012.