JOLLIE FIX LLC NPI 1669385449

NPI Information

  • NPI: 1669385449
  • Provider Name: JOLLIE FIX LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1000 EDGEWATER PT # 106
    LAKE ST LOUIS, MO
    ZIP 63367
  • Phone: (636) 348-4206

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NPI Details

JOLLIE FIX LLC is a psychiatric/mental health nurse practitioner in Lake St Louis, MO. JOLLIE FIX LLC NPI is 1669385449. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 EDGEWATER PT # 106
LAKE ST LOUIS, MO
ZIP 63367-954
Phone: (636) 348-4206

The provider's authorized official is Jessica Booker .
The authorized official title is Owner and has the following contact phone number (636) 348-4206.

The enumeration date for this NPI number is 9/23/2026 and was last updated on 9/23/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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