NPI 1023765484
Brandy Jackson
Practice location
- Address
- 7349 Vermont Ave, Saint Louis, MO 63111-3034
- Phone
- (131) 488-5976
Registered specialties
Community Health Worker
Primary
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.