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MS. ANDREA MARIE JACKSON
NPI 1962003574
Student in an Organized Health Care Education/Training Program in Hazelwood, MO

Active since November 02, 2020
737 DUNN RD, HAZELWOOD, MO 63042(314) 753-2046 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Andrea Marie Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANDREA MARIE JACKSON (NPI 1962003574) is an individual student in an organized health care education/training program in Hazelwood, Missouri and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1962003574
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. ANDREA MARIE JACKSON
Location Address737 DUNN RDHazelwood, MO 63042-1740
Mailing Address737 Dunn RdHazelwood, MO 63042-1740 · (314) 753-2046
Phone(314) 753-2046
Sole ProprietorNo
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1962003574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
737 DUNN RD, Hazelwood, MO 63042
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CORITA TAYLOR
Counselor (Professional)
737 DUNN RD
HAZELWOOD, MO 63042
St. Louis County (314) 504-6870
KEVIN LEE MOEHRING
Counselor (Mental Health)
737 DUNN RD
HAZELWOOD, MO 63042
St. Louis County (314) 731-2433
CDK COUNSELING LLC
Community/Behavioral Health
737 DUNN RD
HAZELWOOD, MO 63042
St. Louis County (314) 775-9642
DANIELLE FRAZIER LPC
Counselor (Professional)
737 DUNN RD
HAZELWOOD, MO 63042
St. Louis County (314) 246-0165
BRITTNEY DANIELLE BROWN
Counselor (Professional)
737 DUNN RD
HAZELWOOD, MO 63042
St. Louis County (314) 472-3433
DONNA RENAE KING MA, LPC
Counselor (Professional)
737 DUNN RD
HAZELWOOD, MO 63042
St. Louis County (314) 397-1962
WILLIAM COLLINS
Counselor (Professional)
737 DUNN RD
HAZELWOOD, MO 63042
St. Louis County (314) 343-6318
ROBERT WOODS PHILLIPS M.ED.
Counselor (Professional)
737 DUNN RD
HAZELWOOD, MO 63042
St. Louis County (314) 731-2433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1962003574. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Andrea Jackson located?

Andrea Jackson practices at 737 Dunn Rd, Hazelwood, MO 63042. The listed phone number is (314) 753-2046.

What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.