Individual provider · Type 1 NPI

Andrea Marie Jackson

Student in an Organized Health Care Education/Training Program · Hazelwood, MO

NPI number 1962003574 Active

Practice location

737 Dunn Rd
Hazelwood, MO 63042-1740

Call (314) 753-2046 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962003574

Andrea Marie Jackson's National Provider Identifier is 1962003574, issued on Nov 2, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hazelwood, MO. The record was last updated on Nov 2, 2020.