Individual
NICOLE JANICE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-2700
(317) 948-2959
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01091554A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
11022739A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
03/26/2024
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