Search › Missouri › 235Z00000X
Jordan Fuqua
NPI 1942855127 · on the registry since 2019 · sole proprietor
Practice
- Address
- 600 First Executive Ave
Saint Peters, MO 63376 - Phone
- (630) 877-0650
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-05
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