JENNIFER MARIE JACOBSON (NPI# 1194103010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194103010 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE JACOBSON |
| Practice Address |
6420 Clayton Rd Saint Louis MO 63117-1811 |
| Practice Telephone | 3147688000 |
| Practice Fax Number | 3146458771 |
| Mailing Telephone | 3147688000 |
| Mailing Fax Number | 3146458771 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950705 | Jennifer Jacobson | Occupational Therapist | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2020-04-14 |
| 1851766349 | Jennifer Jacobson | Registered Nurse | 333 E Washington St, Suite 2100, West Bend, WI 53095-2585 | 2015-12-09 |
| 1538466792 | Jennifer M Jacobson | Social Worker | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2011-02-23 |
| 1700988748 | Jennifer L. Jacobson | Psychologist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2006-09-01 |
| 1730114976 | Jennifer Jacobson | Registered Nurse | 6812 N Oracle Rd, 114, Tucson, AZ 85704-4246 | 2006-07-12 |
| Street Address |
6420 CLAYTON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276874 | Lynn A Whitmer | Anesthesiology | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2005-06-22 |
| 1477162147 | James Unverferth | Pharmacist | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-07-28 |
| 1184248395 | Anna Petrovna Puzyrkova | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-06-03 |
| 1376163261 | Md S Ali | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-21 |
| 1992324214 | Avi Gandhi | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-16 |
| 1205456597 | Faisal Akasha Ramadan Sakeen | Internal Medicine | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-16 |
| 1255950796 | Saira Ibrahim | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1023637568 | Max Harrison Rich | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1386263879 | Sara Sartaj | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1558980037 | Nedaa M. Husainat | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845908 | Ali Hamzehloo | Student in an Organized Health Care Education/Training Program | 1155 Appleseed Ln Unit D, Saint Louis, MO 63132-3239 | 2020-09-10 |
| 1114539137 | Brooke Marissa Tubbs | Student in an Organized Health Care Education/Training Program | 5135 Redstone Rd, Saint Louis, MI 48880-9602 | 2020-08-20 |
| 1508475245 | Irfan Yasin | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Dept Of, Saint Louis, MO 63104-1004 | 2020-07-29 |
| 1457978231 | Katherine Coates | Student in an Organized Health Care Education/Training Program | 4534 Olive St Apt 306, Saint Louis, MO 63108-1869 | 2020-06-29 |
| 1184248437 | Catherine Gaines | Student in an Organized Health Care Education/Training Program | 362 S Maple Ave, Saint Louis, MO 63119-3824 | 2020-06-02 |
| 1922620947 | Nicole Werner | Student in an Organized Health Care Education/Training Program | 9669 Amona Ct, Saint Louis, MO 63123-6535 | 2020-05-13 |
| 1043831787 | Reed Welch | Student in an Organized Health Care Education/Training Program | 1501 Fairmount Ave, Saint Louis, MO 63139-3628 | 2020-05-05 |
| 1437779097 | Victoria Emanuelson | Student in an Organized Health Care Education/Training Program | 4048 Cleveland Ave Apt 3w, Saint Louis, MO 63110-3958 | 2020-04-23 |
| 1831727502 | Kiran Ashok Patel | Student in an Organized Health Care Education/Training Program | 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 | 2020-03-30 |
| 1699301507 | Morgann Madill | Student in an Organized Health Care Education/Training Program | 4144 De Tonty St Apt 1d, Saint Louis, MO 63110-2511 | 2020-03-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on JENNIFER MARIE JACOBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.