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NPI Code Detail

MEDICARE: JESSICA R ST. CLAIR APRN, AGNP-C

MEDICARE: JESSICA R ST. CLAIR APRN, AGNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerAPRN.CNP.022264OH
2363LP2300XPrimary Care Nurse PractitionerAPRN.CNP.022264OH
3363L00000XNurse PractitionerAPRN11045109FL
4363LA2200XAdult Health Nurse PractitionerAPRN.CNP.022264OH

General Provider Information

NPI Number : 1437638376
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA R ST. CLAIR APRN, AGNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 3700 PARK EAST DR STE 450
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-4318
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 02/02/2026

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