Individual
JEAN LEIGH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462
(617) 243-6040
(617) 243-6924
Mailing address
26 BITTERSWEET LN, WESTON, MA 02493
(781) 893-8896
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
07406
RI
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
212899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212899
TUFTS
—
05
—
3204821
—
MA
01
—
5480
HP
—
01
—
J25711
BLUE SHIELD
—
Enumeration date
04/13/2006
Last updated
01/15/2008
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