Individual
MRS. CANDICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11614 VAIL DR, OKLAHOMA CITY, OK 73162-1644
(405) 388-6048
Mailing address
PO BOX 720477, OKLAHOMA CITY, OK 73172-0477
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10
—
OK
Enumeration date
09/30/2008
Last updated
09/11/2013
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