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Jan Jacob-Wickland, PA-C
NPI 1508980541 · on the registry since 2007
Practice
- Address
- 615 S New Ballas Rd Dept Of
Saint Louis, MO 63141 - Phone
- (314) 251-6000
- Fax
- (636) 386-7679
- Organisation at this address
- Mercy Support Services
Pediatrix Medical Group
Mercy Labs St Louis Llc
Mercy Health Services, Llc
Kindred Hospitals East, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 767
Additional practice sites
- 1 Barnes Jewish Hospital Plz, Saint Louis, MO
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-20
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