MERCEDES DENISE JACKSON

FLORISSANT, MO
NPI1518781848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MO  2010039936)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: IL  043125373)
171400000X Health & Wellness Coach
171M00000X Case Manager/Care Coordinator
174H00000X Health Educator
Enumeration Date2024-11-13
Last Update Date2024-11-13
Business Address
MERCEDES DENISE JACKSON LPN, CPST
12961 DUNSTONE DR
FLORISSANT, MO 63033-4702
Phone number: 314-479-8661
Mailing Address
MERCEDES DENISE JACKSON LPN, CPST
12961 DUNSTONE DR
FLORISSANT, MO 63033-4702
Phone number: 314-479-8661