Individual
SUSAN M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1450 CHAMPLIN AVE, UTICA, NY 13502-3662
(315) 624-9000
(315) 624-9003
Mailing address
PO BOX 8155, UTICA, NY 13505
(315) 736-0155
(315) 732-0393
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
264949
NY
363L00000X
Nurse Practitioner
Primary
332294
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01866164
—
NY
Enumeration date
08/17/2006
Last updated
03/09/2020
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