JACQUELINE S FUTRELL


Address: 3660 Vista Ave Ste 204, Saint Louis, MO 63110-2540
Phone: 3149776157

JACQUELINE S FUTRELL (NPI# 1295351393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295351393
Entity Type Individual
Full Name JACQUELINE S FUTRELL
Credential RN, CDCES
Practice Address 3660 Vista Ave Ste 204
Saint Louis
MO 63110-2540
Mailing Address 3901 Jacinto Dr
Saint Louis
MO 63125-3411
Practice Telephone 3149776157
Mailing Telephone 3144615686
Enumeration Date 2020-06-24
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
2015020828 MO Nursing Service Providers

Office Location

Street Address 3660 VISTA AVE STE 204
City SAINT LOUIS
State MO
Zip Code 63110-2540

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

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Competitor

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City SAINT LOUIS
Zip Code 63110

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Dataset Information

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.

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