Individual
MEGAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-5100
(907) 458-5151
Mailing address
1213 N EATON AVE, INDIANAPOLIS, IN 46219-4026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
198878
AK
363LF0000X
Family Nurse Practitioner
2819322A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198878
APRN LICENSE
AK
05
—
201282850
—
IN
01
—
71005406A
APN LICENSE
IN
01
—
P01512420
MEDICARE RR
IN
Enumeration date
02/15/2015
Last updated
03/20/2023
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