Individual
LABRINTARY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 HERMAN JOHNSON W, INDIANOLA, MS 38751-3664
(662) 452-6006
Mailing address
119 HERMAN JOHNSON W, INDIANOLA, MS 38751-3664
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
MS
174200000X
Meals Provider
—
MS
376K00000X
Nurse's Aide
Primary
—
MS
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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