IndividualActive
Andrea Jackson
NPI 1962003574 · Student in an Organized Health Care Education/Training Program · Hazelwood, MO
Provider details
- NPI number
- 1962003574
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Mailing address
737 Dunn Rd
Hazelwood, MO 63042-1740
Registry dates
- Enumerated
- 2020-11-02
- Last updated
- 2020-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.