Search › Missouri › 164W00000X
Mercedes Jackson, LPN, CPST
NPI 1518781848 · on the registry since 2024 · sole proprietor
Practice
- Address
- 12961 Dunstone Dr
Florissant, MO 63033 - Phone
- (314) 479-8661
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 164W00000X
171400000X
171M00000X
174H00000X - Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-13
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