Individual
CYNTHIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCH NP
Contact information
Practice address
6093 S QUEBEC ST STE 100, CENTENNIAL, CO 80111-4543
(303) 770-6933
Mailing address
6093 S QUEBEC ST STE 100, CENTENNIAL, CO 80111-4543
(303) 770-6933
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
176692
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
990052
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71671218
—
CO
Enumeration date
10/04/2006
Last updated
07/21/2021
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