Individual provider · Type 1 NPI
Jacob James Crust, FNP
Family Nurse Practitioner · St. Louis, MO
NPI number
1508236555
Active
Practice location
1 Childrens Pl, Div Ped Emergency Med
St. Louis, MO 63110-1002
Fax (314) 454-4345
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2015035376 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508236555
Jacob James Crust, FNP's National Provider Identifier is 1508236555, issued on Oct 2, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 16, 2025.