NPI
Stephanie Jackson
NPI 1861098261
Read from the NPPES registry on October 26, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2020-12-10
- Last updated
- 2020-12-11
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Specialties
Licenses
- License WV
- Number not in the file
Location
- Practice location
- 699 Stratton St
- City
- Logan WV
- Postal code
- 25601-4020
- Phone
- (304) 752-6868
- Fax
- (304) 752-1047
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Homemakers in Logan, WV. 50 with this primary taxonomy in the public file.
Other NPIs in Logan, WV. 637 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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