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Ms. Andrea Marie Jackson
Student in an Organized Health Care Education/Training Program in Hazelwood, Missouri
NPI 1962003574

Andrea Marie Jackson is a Student in an Organized Health Care Education/Training Program based in Hazelwood, MO. Andrea Marie Jackson practices in Hazelwood, MO. The NPI Number for Andrea Marie Jackson is 1962003574 and holds a License No. (Missouri).

The current practice location address for Andrea Marie Jackson is 737 Dunn Rd, Hazelwood, MO and can be reached out via phone at 314-753-2046.

Location: 737 Dunn Rd, Hazelwood, MO, 63042-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962003574
Provider Name
Andrea Marie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
737 Dunn Rd, Hazelwood, MO, 63042-1740
Phone Number
314-753-2046
Fax Number
Provider Enumeration Date
11/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
737 Dunn Rd
City
Hazelwood
State
Missouri
Zip
63042-1740
Phone Number
314-753-2046
Fax Number
person
Provider Business Mailing Address Details
Address
737 Dunn Rd
City
Hazelwood
State
Missouri
Zip
63042-1740
Phone Number
314-753-2046
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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