Most Relevant Information
Provider Data
| NPI Number: | 1003690900 |
| Provider Name: | ERIKA JACKSON-ESSIEM |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2023 |
| Last Updated: | 10/02/2023 |
Provider Practice Location
4220 N GRAND BLVD
SAINT LOUIS
MO
631071804
Practice Location Phone/Fax
| Phone: | 3145346624 |
| Fax: |
Provider Mailing Location
4220 N GRAND BLVD
SAINT LOUIS
MO
631071804
Provider Mailing Phone/Fax
| Phone: | 3145346624 |
| Fax: |