Individual provider · Type 1 NPI

Erica Jackson

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1376116095 Active

Practice location

470 E Lockwood Ave
St. Louis, MO 63119-3194

Call (800) 981-9801 Map

Mailing address

1270 N Wickham Rd Ste 16-705
Melbourne, FL 32935-8923

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376116095

Erica Jackson's National Provider Identifier is 1376116095, issued on Jul 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 4, 2026.