DEMARCUS JACKSON
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1912888405
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | - |
Frequently Asked Questions
NPI 1912888405 is the National Provider Identifier for DEMARCUS JACKSON, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Memphis, TN. This NPI was enumerated on September 10, 2025.
DEMARCUS JACKSON practices at 938 BREEDLOVE ST, Memphis, TN 38107.
Quick Facts
- NPI
- 1912888405
- Type
- Individual
- Enumerated
- Sep 10, 2025
- Last Updated
- Sep 10, 2025
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