Individual
CRYSTAL L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
61 1ST ST, SOUTH ORANGE, NJ 07079-1900
(973) 762-8344
(973) 762-1626
Mailing address
61 1ST ST, SOUTH ORANGE, NJ 07079-1900
(913) 762-8344
(973) 762-1626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00046700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3404235
OXFORD
NJ
Enumeration date
06/28/2006
Last updated
06/24/2010
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