Lookup NPI Numbers from the NPI Registry
NPI Profile for TERRANCE L JACKSON SR in CANTON, OH.
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Point of Service |
305S00000X | |||
Counselor |
101Y00000X |
| NPI # | 1467134544 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/07/2023 | |
| Last updated | 08/07/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TERRANCE L JACKSON SR
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TERRANCE L JACKSON SR