Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA JACKSON
ActiveTHERESA JACKSON is a Chore Provider healthcare provider located in RIVER ROUGE, Michigan. NPI 1104207083 is currently active in the NPPES registry. Verify at CMS.
Chore Provider · RIVER ROUGE, MI
Registration Details
- NPI Number
- 1104207083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2015 (11.150070078707 yrs)
- Last Updated
- Jun 16, 2015
- License
-
2383432582 (MI)
Practice Information
- Address
-
77 E GREAT LAKES ST APT 303RIVER ROUGE, MI, 482181584Browse MI providers · Browse ZIP 48218
- Phone
- 3132084140
- Primary Specialty
-
Chore Provider
372500000X
Other Chore Provider Providers in RIVER ROUGE, MI
| Name | Credential | NPI |
|---|---|---|
| STACEY JUNIOR | — | 1962874156 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.