Individual provider · Type 1 NPI
Mary Ann Jacobs
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1235193756
Active
Practice location
1 Jefferson Barracks Dr
St. Louis, MO 63125-4181
Fax (314) 845-5039
Mailing address
514 Forder Rd
St. Louis, MO 63129-2624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 047282 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1235193756
Mary Ann Jacobs's National Provider Identifier is 1235193756, issued on Apr 13, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.