Individual provider · Type 1 NPI
Terrance Lamont Jackson Sr.
Point of Service · Canton, OH
NPI number
1467134544
Active
Practice location
2155 Georgetown Rd NE
Canton, OH 44704-2257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Point of Service Primary | 305S00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1467134544
Terrance Lamont Jackson Sr.'s National Provider Identifier is 1467134544, issued on Aug 7, 2023. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Canton, OH. The record was last updated on Aug 7, 2023.