Harold Jackson, Terra

Harold Jackson, Terra is an sole proprietor health care provider with primary practice located at 3890 Dunn Ave Suite 1104, Jacksonville FL 32218-6428. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Harold Jackson, Terra can be contacted via phone (904) 723-6049.

Contact Information

Primary practice address
3890 Dunn Ave Suite 1104 Jacksonville FL 32218-6428
Phone: (904) 723-6049
Fax: (904) 723-5049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Agencies / Case Management 251B00000X

Profile Details

NPI number 1740631738
LBN Legal business name Harold Jackson, Terra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2016
Last updated Jun 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers