Provider Demographics
NPI:1841731692
Name:BATTOCLETTI, JESSICA LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LYNN
Last Name:BATTOCLETTI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:LYNN
Other - Last Name:HILGEDICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7921 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1369
Mailing Address - Country:US
Mailing Address - Phone:314-802-7195
Mailing Address - Fax:314-833-3518
Practice Address - Street 1:7921 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117
Practice Address - Country:US
Practice Address - Phone:314-802-7195
Practice Address - Fax:314-833-3518
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016015759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor