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Search › Indiana › 2080S0012X

Stephanie Jackson, M.D

NPI 1033375043 · on the registry since 2008

Practice

Address
705 Riley Hospital Dr
Roc 4270
Indianapolis, IN 46202
Phone
(317) 274-7208
Fax
(317) 274-7227
Organisation at this address
Roc Surgery Llc
Riley Hospital For Children
Indiana University Health Inc
Indiana University Health Inc
Professional Staff Management
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,229

Registry record

Primary taxonomy
2080S0012X
2080S0012X
Also registered as
208000000X
2084N0402X
Licence states on file
IL, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana