Individual provider · NPI-1
Holly Ackermann, FNP
Nurse Practitioner, Family · Saint Louis, MO
NPI number1003303389
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1003303389
- Entity type
- Individual (NPI-1)
- Name
- Holly Ackermann
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2018
- Certification date
- Sep 29, 2026
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2018010406 | MO | Yes |
Practice location
5034 Griffin RdSaint Louis, MO 63128-3418
Phone 314-843-7333 · Fax 314-843-9946
Mailing address
Po Box 419052Saint Louis, MO 63141-9052
Phone 314-851-1000
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