Individual
JESSICA SHACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 740-7890
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0081355
MD
207P00000X
Emergency Medicine Physician
D81355
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D81355
MD LICENSE
MD
Enumeration date
04/23/2013
Last updated
03/03/2022
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