Individual
JULLIET JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17345 EDGEWATER DR, PORT CHARLOTTE, FL 33948-2343
(941) 766-0175
Mailing address
17345 EDGEWATER DR, PORT CHARLOTTE, FL 33948-2343
(941) 766-0175
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142038100
—
FL
Enumeration date
11/20/2013
Last updated
11/20/2013
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