IndividualActive
Christopher Jackson, D.O.
NPI 1912910316 · Personal Emergency Response Attendant · Fenton, MO
Provider details
- NPI number
- 1912910316
- Entity type
- Individual
- Primary specialty
- Personal Emergency Response AttendantEmergency Medical Service Providers
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 108659 (MO)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
1015 Bowles Ave
Fenton, MO 63026-2394
Phone: (636) 496-2100
Approximate (ZIP-level) locationGet directions
Mailing address
106 Hunters Ridge Dr
Labadie, MO 63055-1525
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2012-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.