Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie J. Jackson, MD

Individual provider Pediatrics Physician · NPI 1033375043

Stephanie J. Jackson, MD is a Pediatrics Physician in Indianapolis, Indiana. Licensed in Illinois and Indiana. Registered with an NPI since 2008.

Licensed in
IL, IN
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

705 Riley Hospital Dr Roc 4270
Indianapolis, IN 46202-5109
Phone: (317) 274-7208
Fax: (317) 274-7227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Sleep Medicine Physician (primary) Taxonomy 2080S0012X · Licence 01071127A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 125053014 (IL)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 01071127 (IN)

Record details

NPI number1033375043
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2008
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

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