Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson B Haynes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831046291

Jackson B Haynes is a Student in an Organized Health Care Education/Training Program in Saint Louis, Missouri. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

660 S Euclid Ave
Saint Louis, MO 63110-1010
Phone: (314) 362-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1831046291
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2026
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

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