Jackson, Jerome Alexander-Terrell

Jackson, Jerome Alexander-Terrell is an sole proprietor health care provider with primary practice located at 9680 W Northern Ave Unit 2311 , Peoria AZ 85345-4655. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Foster Care Agency. Agencies / Foster Care Agency is his primary health care specialty. Jackson, Jerome Alexander-Terrell can be contacted via phone (989) 980-8286.

Contact Information

Primary practice address
9680 W Northern Ave Unit 2311 Peoria AZ 85345-4655
Phone: (989) 980-8286
Fax: (602) 455-4626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 10195508 Arizona
Agencies / Foster Care Agency 253J00000X 10195508 Arizona

Profile Details

NPI number 1740815497
LBN Legal business name Jackson, Jerome Alexander-Terrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 5 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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