Individual provider · Type 1 NPI
Marley Jackson, NP
Nurse Practitioner · St. Peters, MO
Practice location
70 Jungermann Cir Ste 300
St. Peters, MO 63376-1637
Mailing address
PO Box 959354
St. Louis, MO 63195-9354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2025018317 (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…
Another provider at this address
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- Heidi M. Dresner, RN, BC, FNPNurse Practitioner St. Peters, MO NPI 1164549713
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About NPI 1730079310
Marley Jackson, NP's National Provider Identifier is 1730079310, issued on Jul 7, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Peters, MO. The record was last updated on Sep 16, 2025.