Individual
DANIELLE MARGARET COLETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1575 BEAM AVE, EMERGENCY DEPARTMENT, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Mailing address
1575 BEAM AVE, EMERGENCY DEPARTMENT, MAPLEWOOD, MN 55109-1126
(651) 232-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19594
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19594
RESIDENCY PERMIT NUMBER
MN
Enumeration date
02/21/2008
Last updated
02/19/2010
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