MS. TERESA ALICE JACKSON MSED NPI 1972865442

NPI Information

NPI: 1972865442
Provider Name: MS. TERESA ALICE JACKSON, MSED
Classification: Contractor - 171W00000X
Entity Type: Individual
Address:
41 GREEN ST
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 285-6388
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MS. Teresa Alice Jackson, MSED is a contractor in Valley Stream, NY. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). MS. Teresa Alice Jackson, MSED NPI is 1972865442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

41 GREEN ST
VALLEY STREAM, NY
ZIP 11580-815
Phone: (516) 285-6388
Fax: (516) 285-6388

The enumeration date for this NPI number is 6/11/2012 and was last updated on 6/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171W00000X	Contractor	486110931	NEW YORK	No
2	171W00000X	Contractor	486112931	NEW YORK	No
3	171W00000X	Contractor	717251962	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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