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

Joel Gibbons Vickery

Individual provider Community Health Worker · NPI 1306502398

Joel Gibbons Vickery is a Community Health Worker in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021

Practice location Address checks out

208 N 9th St Apt 312
Saint Louis, MO 63101-1437
Phone: (314) 713-9144
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 2019042607 (MO)

Record details

NPI number1306502398
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 13, 2021
Last updated in NPPESNovember 13, 2021
Certification dateNovember 13, 2021

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