MRS. TERA JACKSON
Clinic/Center - Mental Health (Including Community Mental Health Center)
Active
Individual
NPI: 1699045104
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) | 261QM0801X | Yes | - |
Frequently Asked Questions
NPI 1699045104 is the National Provider Identifier for MRS. TERA JACKSON, a Clinic/Center - Mental Health (Including Community Mental Health Center) provider located in Edmond, OK. This NPI was enumerated on January 1, 2012.
MRS. TERA JACKSON practices at 3109 STONE HILL TRL, Edmond, OK 73034.
Quick Facts
- NPI
- 1699045104
- Type
- Individual
- Enumerated
- Jan 1, 2012
- Last Updated
- Aug 7, 2024
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