Individual provider · Type 1 NPI

Barry Ellis Breckle Jr., RN, MSN, FNP-BC

Family Nurse Practitioner · St. Louis, MO

NPI number 1801858121 Active

Practice location

1 Jefferson Barracks Dr, 11G-JB
St. Louis, MO 63125-4181

Fax (314) 845-5092

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5862 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1801858121

Barry Ellis Breckle Jr., RN, MSN, FNP-BC's National Provider Identifier is 1801858121, issued on Apr 3, 2006. 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 17, 2020.