Brandy Jackson
NPI #1023765484 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1023765484
- Entity Type
- Individual
- Name
- Brandy Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Mar 7, 2022
- Last Updated
- Mar 7, 2022
Practice Location
- Address
- 7349 VERMONT AVE
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63111-3034
- Phone
- (131) 488-5976
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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