What is Theresa Jackson's NPI number?

Theresa Jackson's National Provider Identifier (NPI) is 1104207083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Theresa Jackson's specialty?

Theresa Jackson is listed in the NPPES registry with a primary specialty of Chore Provider (Nursing Service Related Providers).

Where is Theresa Jackson located?

Theresa Jackson's practice location on file with NPPES is 77 E Great Lakes St Apt 303, River Rouge, MI 48218-1584.

What is Theresa Jackson's phone number?

The practice phone number listed in the NPPES registry for Theresa Jackson is (313) 208-4140.

Is Theresa Jackson's NPI active?

Yes — Theresa Jackson's NPI (1104207083) is active in the NPPES registry as of the last update on 2015-06-16.

IndividualActive

Theresa Jackson

NPI 1104207083 · Chore Provider · River Rouge, MI

Theresa Jackson is a Chore Provider provider in River Rouge, MI (NPI 1104207083).

Provider details

NPI number: 1104207083
Entity type: Individual
Primary specialty: Chore ProviderNursing Service Related Providers
Sex: Female
Sole proprietor: No
License: 2383432582 (MI)

Specialties & taxonomies

Chore ProviderPrimary372500000XLicense 2383432582 (MI)
Nursing Service Related Providers

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

77 E Great Lakes St Apt 303

River Rouge, MI 48218-1584

Phone: (313) 208-4140

Street-level locationGet directions

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Mailing address