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

Mercedes Denise Jackson, LPN, CPST

Individual provider Licensed Practical Nurse · NPI 1518781848

Mercedes Denise Jackson, LPN, CPST is a Licensed Practical Nurse in Florissant, Missouri. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2024
Specialties on file
5
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

12961 Dunstone Dr
Florissant, MO 63033-4702
Phone: (314) 479-8661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 2010039936 (MO)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 043125373 (IL)
Health & Wellness Coach Taxonomy 171400000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1518781848
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN , CPST
Sole proprietorYes
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

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