SearchMissouri374U00000X

Elizabeth Jackson

NPI 1700599370 · on the registry since 2022

Practice

Address
705 Jefferson St
Jefferson Cty, MO 65101
Phone
(573) 291-5303

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-28

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