Individual
DOUGLAS JACKSON
Active
Individual
DOUGLAS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71009145A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0027550
OH
Other
Enumeration date
07/22/2019
Last updated
10/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up