Whalio Doctors

NPI 1023765484

Brandy Jackson

Practitioner Community Health Worker Saint Louis, MO

Practice location

Address
7349 Vermont Ave, Saint Louis, MO 63111-3034
Phone
(131) 488-5976

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X

Registry record

NPI
1023765484
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Mar 2022
Record last updated
7 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.