Individual
CHANELL SHANNON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMW, WHNP
Contact information
Practice address
5883 1/2 DOVERWOOD DR, CULVER CITY, CA 90230-7203
(310) 848-7736
Mailing address
5883 1/2 DOVERWOOD DR, CULVER CITY, CA 90230-7203
(310) 848-7736
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
236061
CA
363LW0102X
Women's Health Nurse Practitioner
236061
CA
Other
Enumeration date
09/19/2021
Last updated
03/30/2022
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