TEDRA NIKIA JACKSON
NPI 1023130176
Counselor - Mental Health in Dallas, TX
About Tedra Nikia Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEDRA NIKIA JACKSON (NPI 1023130176) is an individual mental health provider in Dallas, Texas and active in the NPI registry since April 2007.
NPPES Registry Identity
Specialties & Licenses
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.
DALLAS, TX 75216
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tedra Jackson's NPI number?
The NPI number for Tedra Jackson is 1023130176. It was assigned to this individual provider in the NPPES registry on April 6, 2007.
Where is Tedra Jackson located?
Tedra Jackson practices at 3330 S Lancaster Rd, Dallas, TX 75216. The listed phone number is (214) 371-6639.
What is Tedra Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Tedra Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.