Jessica Therese Auld, MD
Family Medicine in Fenton, MO. Individual provider (NPI-1).
NPI number1366071672
StatusActive
Last updated in NPPESJul 24, 2023
Details
- NPI
- 1366071672
- Entity type
- Individual (NPI-1)
- Name
- Jessica Therese Auld
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2020
- Certification date
- Jul 24, 2023
- Last updated
- Jul 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2022047390 | MO | Yes |
Practice location
1203 Smizer Mill Rd Ste 105Fenton, MO 63026-3483
Phone 636-717-1350
Mailing address
Po Box 776084Chicago, IL 60677-6084
Phone 636-717-1350
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- Justin E. Hugo, M.D.NPI 1104826098
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All 23 Family Medicine Physician providers in Fenton · All 705 providers in Fenton
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