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Jacqueline Jackson
NPI 1255750873 · on the registry since 2014 · sole proprietor
Practice
- Address
- 10239 Prince Dr
Saint Louis, MO 63136 - Phone
- (314) 401-7049
- Organisation at this address
- In My Shoes In Home Services Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri