MEDICARE: JOCELYN OU MD

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
1	2080N0001X	Neonatal-Perinatal Medicine Physician	88536	GA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2080N0001X	Neonatal-Perinatal Medicine Physician	2018008659	MO

General Provider Information

NPI Number	:	1912393810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN OU MD

Provider Business Mailing Address
First Line	:	1 CHILDRENS PL
Second Line	:	CB8116
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1002
Country	:	US
Telephone Number	:	314-454-6148
Fax Number	:	314-454-4633

Provider Business Practice Location Address
First Line	:	1 CHILDREN'S PL. CB 8116
Second Line	:
City	:	ST. LOUIS
State	:	MO
Zip	:	63110-6311
Country	:	US
Telephone Number	:	314-454-6148
Fax Number	:	314-454-4633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2015
Last Update Date	:	07/30/2021

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Directions to “ JOCELYN OU MD” Practice Location

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