Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE JACKSON
Active Sole ProprietorSTEPHANIE JACKSON is a Bus healthcare provider located in BAYSIDE, Wisconsin. NPI 1215797410 is currently active in the NPPES registry. Verify at CMS.
Bus · BAYSIDE, WI
Registration Details
- NPI Number
- 1215797410
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2024 (2.417699112949 yrs)
- Last Updated
- Mar 22, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 W BROWN DEER RD UNIT G-855BAYSIDE, WI, 532172372Browse WI providers · Browse ZIP 53217
- Phone
- 4147190055
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in BAYSIDE, WI
| Name | Credential | NPI |
|---|---|---|
| JANEL EDWARDS | — | 1912668609 |
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.