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MRS. TERA JACKSON
NPI 1699045104
Clinic/Center - Mental Health (Including Community Mental Health Center) in Edmond, OK

Active since January 01, 2012
3109 STONE HILL TRL, EDMOND, OK 73034(405) 812-4692 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2024, Jul 18, 2024 (2 updates tracked since 2024).

About Mrs. Tera Jackson NPPES

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

MRS. TERA JACKSON (NPI 1699045104) is an individual mental health (including community mental health center) provider in Edmond, Oklahoma and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1699045104
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameMRS. TERA JACKSON
Location Address3109 STONE HILL TRLEdmond, OK 73034-6180
Mailing Address1512 Patricia DrMidwest City, OK 73130-1637 · (405) 812-4692
Phone(405) 812-4692
Sole ProprietorYes
Enumeration DateJanuary 1, 2012
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1699045104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3109 STONE HILL TRL, Edmond, OK 73034
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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 Tera Jackson's NPI number?

The NPI number for Tera Jackson is 1699045104. It was assigned to this individual provider in the NPPES registry on January 1, 2012.

Where is Tera Jackson located?

Tera Jackson practices at 3109 Stone Hill Trl, Edmond, OK 73034. The listed phone number is (405) 812-4692.

What is Tera Jackson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Tera Jackson was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.