JENNIFER JOY JACKLIN CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1326264441- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP
- Status
- Active
Contact & Location
- Address
- 10777 SUNSET OFFICE DR STE 110, SAINT LOUIS, MO, 631271019
- Phone
- (314) 781-7415
- Fax
- (314) 644-4592
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: MO #152024