All Medicaid billing entities listing JACKSON, CAROL (CREDENTIALIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Missouri | 1 | $66K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | HOLDEN FAMILY CARE, LLC | HOLDEN, MO | Nurse Practitioner | $66K |