Individual
TIMOTHY JAMES JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
155 HOSPITAL DR, LAFAYETTE, LA 70503-2852
(337) 269-9777
(337) 269-0244
Mailing address
PO BOX 52507, LAFAYETTE, LA 70505-2507
(337) 269-9777
(337) 269-0244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 073450
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949388
—
LA
Enumeration date
10/06/2005
Last updated
07/08/2007
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