Individual
AMANDA J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2811 HOLMANS LN, JEFFERSONVILLE, IN 47130-5915
(502) 446-5555
(502) 394-3674
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(025) 889-4905
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3013285
KY
363LF0000X
Family Nurse Practitioner
Primary
71009089A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027709
—
IN
05
—
7100604600
—
KY
Enumeration date
04/10/2019
Last updated
05/08/2024
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