Individual provider · Type 1 NPI

Jacqueline Marie Haley, CPNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1902433469 Active

Practice location

1 Childrens Pl
St. Louis, MO 63110-1002

Mailing address

6025 Odell St
St. Louis, MO 63139-2631

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2019036526 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1902433469

Jacqueline Marie Haley, CPNP's National Provider Identifier is 1902433469, issued on Mar 25, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Nov 3, 2021.