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

Mrs. Jacqueline Elise Kirk, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1326719964

Mrs. Jacqueline Elise Kirk, APRN is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2018, 8 years ago. Practices with Community and Long-Term Care Psychiatry LLC, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

10004 Kennerly Rd Ste 362B
Saint Louis, MO 63128-2178
Phone: (314) 525-5050
Fax: (314) 525-5072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2021099690 (MO)

Record details

NPI number1326719964
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community And Long-Term Care Psychiatry Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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