ERICA JACKSON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1376116095

Practice Address

470 E LOCKWOOD AVE
Saint Louis, MO 63119

Phone: (800) 981-9801

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1376116095 is the National Provider Identifier for ERICA JACKSON, a Student in an Organized Health Care Education/Training Program provider located in Saint Louis, MO. This NPI was enumerated on July 20, 2021.
ERICA JACKSON practices at 470 E LOCKWOOD AVE, Saint Louis, MO 63119.

Quick Facts

NPI
1376116095
Type
Individual
Enumerated
Jul 20, 2021
Last Updated
Feb 4, 2026

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