Individual
CHAU N. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
(765) 677-5167
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-3321
(765) 677-5167
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007563A
IN
363LA2200X
Adult Health Nurse Practitioner
71007563A
IN
363LG0600X
Gerontology Nurse Practitioner
71007563A
IN
363LP2300X
Primary Care Nurse Practitioner
71007563A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28199163A
REGISTERED NURSE
IN
01
—
71007563A
APN PRESCRIPTIVE AUTHORITY
IN
01
—
71007563B
CSR-PRESCRIPTIVE AUTHORITY
IN
Enumeration date
10/12/2017
Last updated
09/26/2023
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