STEPHANIE J. JACKSON

INDIANAPOLIS, IN
NPI1033375043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080S0012X Pediatrics, Sleep Medicine
(Licence: IN  01071127A)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  125053014)
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: IN  01071127)
Enumeration Date2008-07-30
Last Update Date2021-01-12
Business Address
STEPHANIE J. JACKSON M.D.
705 RILEY HOSPITAL DR ROC 4270
INDIANAPOLIS, IN 46202-5109
Phone number: 317-274-7208
Mailing Address
STEPHANIE J. JACKSON M.D.
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone number: 317-274-1201