Individual
ALISIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9204 TAYLORSVILLE RD STE 217, LOUISVILLE, KY 40299-1789
(502) 709-0430
Mailing address
16605 CHESTNUT GLEN PL, LOUISVILLE, KY 40245-6121
(502) 709-0430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013490
KY
363LF0000X
Family Nurse Practitioner
Primary
3013490
KY
363LF0000X
Family Nurse Practitioner
71011085A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100720690
—
KY
Enumeration date
08/04/2020
Last updated
11/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us