Berger, Jacinda Lynn

Berger, Jacinda Lynn is an individual health care provider with primary practice located at 600 S Taylor Ave Dept Psychiatry, Ste 122, Saint Louis MO 63110-1035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Berger, Jacinda Lynn can be contacted via phone (314) 286-1700.

Contact Information

Primary practice address
600 S Taylor Ave Dept Psychiatry, Ste 122 Saint Louis MO 63110-1035
Phone: (314) 286-1700
Fax: (314) 970-9094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2017005256 Missouri

Profile Details

NPI number 1699206615
LBN Legal business name Berger, Jacinda Lynn
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2017
Last updated Apr 25th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699206615 NPPES
Missouri MEDICAID 420041777

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