Individual
TANA JACKSON-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 N 28TH ST, CAMELBACK HS MEDICALLY FRAGILE, PHOENIX, AZ 85016-4931
(602) 764-7122
Mailing address
4612 N 28TH ST, CAMELBACK HS MEDICALLY FRAGILE, PHOENIX, AZ 85016-4931
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043114639
IL
164W00000X
Licensed Practical Nurse
Primary
LP048815
AZ
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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