THERESA JACKSON
NPI 1104207083
Chore Provider in River Rouge, MI
About Theresa Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA JACKSON (NPI 1104207083) is an individual chore provider provider in River Rouge, Michigan, licensed in Michigan (2383432582) and active in the NPI registry since June 2015.
NPPES Registry Identity
Specialties & Licenses
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 Theresa Jackson's NPI number?
The NPI number for Theresa Jackson is 1104207083. It was assigned to this individual provider in the NPPES registry on June 16, 2015.
Where is Theresa Jackson located?
Theresa Jackson practices at 77 E Great Lakes St Apt 303, River Rouge, MI 48218. The listed phone number is (313) 208-4140.
What is Theresa Jackson's specialty?
The primary specialty registered for this NPI is Chore Provider with taxonomy code 372500000X.
When was this NPI record last updated?
The NPPES record for Theresa Jackson was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.