Individual
MS. KENNIE NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 PALMYRA DR, INDIANAPOLIS, IN 46239-9170
(317) 909-0320
Mailing address
315 PALMYRA DR, INDIANAPOLIS, IN 46239-9170
(765) 227-5006
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
2400290281
IN
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/09/2010
Last updated
08/19/2024
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