All Medicaid billing entities listing JACKSON, STACEY (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Iowa | 1 | $1K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SERGEANT BLUFF PHARMACY INC | SERGEANT BLUFF, IA | Durable Medical Equipment & Medical Supplies | $1K |