DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE J. JACKSON, M.D.

Active

STEPHANIE J. JACKSON, M.D. is a Sleep Medicine (Pediatrics) healthcare provider located in INDIANAPOLIS, Indiana. NPI 1033375043 is currently active in the NPPES registry. Verify at CMS.

Sleep Medicine (Pediatrics) · INDIANAPOLIS, IN

Registration Details

NPI Number
1033375043
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2008 (18.066779393935 yrs)
Last Updated
Jan 12, 2021
Licenses
125053014 (IL)
01071127 (IN)
01071127A (IN)

Practice Information

Address
705 RILEY HOSPITAL DR
ROC 4270
INDIANAPOLIS, IN, 462025109
Browse IN providers · Browse ZIP 46202
Phone
3172747208
Fax
3172747227
Primary Specialty
Sleep Medicine (Pediatrics)
2080S0012X
Additional Specialty
Sleep Medicine (Pediatrics)

Other Sleep Medicine (Pediatrics) Providers in INDIANAPOLIS, IN

Name Credential NPI
ROHAN ANTHONY THOMPSON MD 1376501304
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.