Individual
TELENCIA YVONNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18551 CHAMPION FOREST DR STE 103, SPRING, TX 77379-5582
(713) 819-6104
Mailing address
3103 HYDRANGEA AVE, KILLEEN, TX 76549-4940
(706) 617-3658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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