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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MERCEDES DENISE JACKSON, LPN, CPST

Active Sole Proprietor

MERCEDES DENISE JACKSON, LPN, CPST is a Licensed Practical Nurse healthcare provider located in FLORISSANT, Missouri. NPI 1518781848 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · FLORISSANT, MO

Registration Details

NPI Number
1518781848
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2024 (1.7944930785253 yrs)
Last Updated
Nov 13, 2024
Licenses
043125373 (IL)
2010039936 (MO)
Sole Proprietor
Yes

Practice Information

Address
12961 DUNSTONE DR
FLORISSANT, MO, 630334702
Browse MO providers · Browse ZIP 63033
Phone
3144798661
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Health & Wellness Coach
Additional Specialty
Case Manager
Additional Specialty
Health Educator
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in FLORISSANT, MO

Name Credential NPI
MS. YOLONDA MARCHELLE MCKINNIES LPN 1194901488
MRS. BRENDA L GRANT LPN 1164666178
MRS. LANA SHANISE WATSON LPN 1023389889
EBONY WAGNER 1417402397
SAMANTHA SHANKS L.P.N. 1972040954
QUONISHA HOLLIE LPN 1205395902
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.