Individual
MR. HOLLI VERN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6100
(907) 543-6159
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 546-6100
(907) 543-6159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
27403
CA
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
09/10/2013
Last updated
11/20/2019
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