Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERRANCE LAMONT JACKSON SR.
Active Sole ProprietorPoint of Service · CANTON, OH
Registration Details
- NPI Number
- 1467134544
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2023 (2.706077657525 yrs)
- Last Updated
- Aug 7, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
2155 GEORGETOWN RD NECANTON, OH, 447042257Browse OH providers · Browse ZIP 44704
- Phone
- 8163777225
- Primary Specialty
-
Point of Service
305S00000X
- Additional Specialty
- Point of Service
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.