Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOEL GIBBONS VICKERY
Active Sole ProprietorCommunity Health Worker · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1306502398
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2021 (4.4379538763369 yrs)
- Last Updated
- Nov 13, 2021
- License
-
2019042607 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 N 9TH ST APT 312SAINT LOUIS, MO, 631011437Browse MO providers · Browse ZIP 63101
- Phone
- 3147139144
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. LISA ANN PAYNE | OTR | 1851558423 |
| HEATHER J MINNES | — | 1013142421 |
| MRS. YOLANDA ROCHELLE NEWSON | — | 1053644617 |
| EMIR MILJKOVIC | — | 1295060549 |
| CARLOS H JOHNSON | — | 1619209319 |
| JAMESHIA QUIANNA NIXON | — | 1346547163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.