Individual
MELINDA LOUISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117-3511
(205) 335-7683
Mailing address
400 TAYLOR RD, MONTGOMERY, AL 36117-3511
(205) 335-7683
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-117801
AL
363LN0000X
Neonatal Nurse Practitioner
Primary
1-117801
AL
363LN0005X
Critical Care Neonatal Nurse Practitioner
1-117801
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/12/2019
Last updated
01/19/2023
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