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TERRANCE LAMONT JACKSON SR.
NPI 1467134544
Point of Service in Canton, OH

Active since August 07, 2023
2155 GEORGETOWN RD NE, CANTON, OH 44704(816) 377-7225 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terrance Lamont Jackson Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRANCE LAMONT JACKSON SR. (NPI 1467134544) is an individual point of service provider in Canton, Ohio and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1467134544
Entity TypeIndividualMale
Primary Taxonomy305S00000X
Provider Legal NameTERRANCE LAMONT JACKSON SR.
Location Address2155 GEORGETOWN RD NECanton, OH 44704-2257
Mailing Address2155 Georgetown Rd NeCanton, OH 44704-2257 · (816) 377-7225
Phone(816) 377-7225
Sole ProprietorYes
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1467134544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Also ListedCounselorTaxonomy 101Y00000X
2155 GEORGETOWN RD NE, Canton, OH 44704
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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 Terrance Jackson's NPI number?

The NPI number for Terrance Jackson is 1467134544. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Terrance Jackson located?

Terrance Jackson practices at 2155 Georgetown Rd NE, Canton, OH 44704. The listed phone number is (816) 377-7225.

What is Terrance Jackson's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Terrance Jackson was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.