Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa Jackson

Individual provider Chore Provider · NPI 1104207083

Theresa Jackson is a Chore Provider in River Rouge, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

77 E Great Lakes St Apt 303
River Rouge, MI 48218-1584
Phone: (313) 208-4140
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chore Provider (primary) Taxonomy 372500000X · Licence 2383432582 (MI)

Record details

NPI number1104207083
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESJune 16, 2015
Mailing address77 E Great Lakes St Apt 303, River Rouge, MI 48218-1584

Other providers in River Rouge