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Stephanie Jackson
Non-emergency Medical Transport (VAN) in Bayside, Wisconsin
NPI 1215797410

Stephanie Jackson is a Non-emergency Medical Transport (VAN) based in Bayside, WI. Stephanie Jackson practices in Bayside, WI. The NPI Number for Stephanie Jackson is 1215797410 and holds a License No. (Wisconsin).

The current practice location address for Stephanie Jackson is 333 W Brown Deer Rd Unit G-855, Bayside, WI and can be reached out via phone at 414-719-0055.

Location: 333 W Brown Deer Rd Unit G-855, Bayside, WI, 53217-2372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215797410
Provider Name
Stephanie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
333 W Brown Deer Rd Unit G-855, Bayside, WI, 53217-2372
Phone Number
414-719-0055
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
333 W Brown Deer Rd Unit G-855
City
Bayside
State
Wisconsin
Zip
53217-2372
Phone Number
414-719-0055
Fax Number
person
Provider Business Mailing Address Details
Address
333 W Brown Deer Rd Unit G-855
City
Bayside
State
Wisconsin
Zip
53217-2372
Phone Number
414-719-0055
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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