Individual
KATHRYN LANO JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
421 NUT TREE RD, SUITE 140, VACAVILLE, CA 95687-3508
(707) 624-7550
(707) 624-7501
Mailing address
1001 NUT TREE ROAD, SUITE 140, VACAVILLE, CA 95687
(707) 448-9350
(707) 448-3572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
441569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
441569
CA BRN NURSE PRACTITIONER
CA
Enumeration date
05/02/2007
Last updated
12/29/2014
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