DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERRA HAROLD JACKSON

Active Sole Proprietor

TERRA HAROLD JACKSON is a Case Management Agency healthcare provider located in JACKSONVILLE, Florida. NPI 1740631738 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · JACKSONVILLE, FL

Registration Details

NPI Number
1740631738
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2016 (10.167068874039 yrs)
Last Updated
Jun 30, 2016
Sole Proprietor
Yes

Practice Information

Address
3890 DUNN AVE
SUITE 1104
JACKSONVILLE, FL, 322186428
Browse FL providers · Browse ZIP 32218
Phone
9047236049
Fax
9047235049
Primary Specialty
Case Management Agency
251B00000X
Additional Specialty
Case Management Agency

Other Case Management Agency Providers in JACKSONVILLE, FL

Name Credential NPI
MRS. HELEN BREENE MUNDY 1699973958
MR. DAN ROBERT ASHDON 1437357696
KISZZIE JONES 1235338203
ELIZABETH PARKER 1346449311
MRS. HEATHER VAUGHAN 1093905028
JOHN ESSEX 1891968632
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.