Jackson, Mercedes Denise

Jackson, Mercedes Denise is an sole proprietor health care provider with primary practice located at 12961 Dunstone Dr , Florissant MO 63033-4702. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Jackson, Mercedes Denise can be contacted via phone (314) 479-8661.

Contact Information

Primary practice address
12961 Dunstone Dr Florissant MO 63033-4702
Phone: (314) 479-8661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043125373 Illinois
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Health Educator 174H00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2010039936 Missouri

Profile Details

NPI number 1518781848
LBN Legal business name Jackson, Mercedes Denise
Credentials LPN, CPST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2024
Last updated Nov 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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