STEPHANIE J. JACKSON M.D.
NPI 1033375043
Pediatrics - Sleep Medicine in Indianapolis, IN

Q: What is Stephanie Jackson's NPI number?

The NPI number for Stephanie Jackson is 1033375043. It was assigned to this individual provider in the NPPES registry on July 30, 2008.

Q: What is Stephanie Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Jackson was last updated on January 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 30, 2008

705 RILEY HOSPITAL DR, ROC 4270, INDIANAPOLIS, IN 46202(317) 274-7208(317) 274-7227 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stephanie J. Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE J. JACKSON M.D. (NPI 1033375043) is an individual sleep medicine provider in Indianapolis, Indiana, licensed in Indiana (01071127A) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1033375043

Entity TypeIndividualFemale

Primary Taxonomy2080S0012X

Provider Legal NameSTEPHANIE J. JACKSONCredential: M.D.

Location Address705 RILEY HOSPITAL DR, ROC 4270Indianapolis, IN 46202-5109

Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 274-1201 · Fax (317) 278-9905

Phone(317) 274-7208

Fax(317) 274-7227

Sole ProprietorNo

Enumeration DateJuly 30, 2008

Last NPPES UpdateJanuary 12, 2021

NPPES CertifiedJanuary 12, 2021

✔ NPI 1033375043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0012X

License✔ Licensed in IN · 01071127A

Definition

A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedPediatricsTaxonomy 208000000X · License 125053014 (IL)

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 01071127 (IN)

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 1

Medicaid201107390IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)