Individual provider · NPI-1

Dr. Jacob Charles Adney, MD

Hospitalist · Saint Louis, MO

NPI number1679199764
StatusActive
Last updated in NPPESApr 15, 2025

Details

NPI
1679199764
Entity type
Individual (NPI-1)
Name
Dr. Jacob Charles Adney
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 24, 2020
Certification date
Jan 21, 2023
Last updated
Apr 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist2021029062MOYes

Practice location

1 Childrens Pl
Div Ped Hospitalist Med
Saint Louis, MO 63110-1002

Phone 314-454-2076 · Fax 314-747-8953

Mailing address

Po Box 7412011
Chicago, IL 60674-2011

Phone 314-454-2076 · Fax 314-747-8953

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