Jackson, Tera

Jackson, Tera is an sole proprietor health care provider with primary practice located at 3109 Stone Hill Trl , Edmond OK 73034-6180. She recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as her primary health care specialty. Jackson, Tera can be contacted via phone (405) 812-4692.

Contact Information

Primary practice address
3109 Stone Hill Trl Edmond OK 73034-6180
Phone: (405) 812-4692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1699045104
LBN Legal business name Jackson, Tera
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2012
Last updated Jul 18th, 2024 - about 2 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.

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