Individual provider · Type 1 NPI

Jessica Pearl Mei-Jan Lucido, NP

Nurse Practitioner · St. Louis, MO

NPI number 1508309717 Active

Practice location

625 S. New Ballas Road, Suite 2015
St. Louis, MO 63141

Fax (314) 251-1140

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2012020364 (MO)
Nurse Practitioner Primary 363L00000X2016012526 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508309717

Jessica Pearl Mei-Jan Lucido, NP's National Provider Identifier is 1508309717, issued on Nov 21, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 19, 2018.