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

MS. TERESA ALICE JACKSON, MSED

Active

MS. TERESA ALICE JACKSON, MSED is a Contractor healthcare provider located in VALLEY STREAM, New York. NPI 1972865442 is currently active in the NPPES registry. Verify at CMS.

Contractor · VALLEY STREAM, NY

Registration Details

NPI Number
1972865442
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2012 (14.148342196727 yrs)
Last Updated
Jun 11, 2012
Licenses
717251962 (NY)
486110931 (NY)
486112931 (NY)

Practice Information

Address
41 GREEN ST
VALLEY STREAM, NY, 115804815
Browse NY providers · Browse ZIP 11580
Phone
5162856388
Fax
5162856388
Primary Specialty
Contractor
171W00000X
Additional Specialty
Contractor
Additional Specialty
Contractor

Other Contractor Providers in VALLEY STREAM, NY

Name Credential NPI
MRS. LUZ MARIA BAENA M.S., L.C.S.W. 1457597718
MS. BERNADETTE MARIE ALVAREZ ED.D 1518195817
MRS. BESSIE TRASTELIS 1013291384
YVROSE PIERRE 1740630201
MR. RAYMOND TAVAREZ REPAIR TECHNICIAN 1750104386
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.