Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMARCUS JACKSON
Active Sole ProprietorDEMARCUS JACKSON is a Emotionally Disturbed Children Residential Treatment healthcare provider located in MEMPHIS, Tennessee. NPI 1912888405 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · MEMPHIS, TN
Registration Details
- NPI Number
- 1912888405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2025 (0.92804595836076 yrs)
- Last Updated
- Sep 10, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
938 BREEDLOVE STMEMPHIS, TN, 381074272Browse TN providers · Browse ZIP 38107
- Phone
- 9014636940
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Other Emotionally Disturbed Children Residential Treatment Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| J'TERICA SMITH | — | 1316687585 |
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.