Individual
JERRICA A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 W MCDERMOTT DR STE 200, ALLEN, TX 75013-3089
(469) 767-4958
Mailing address
8741 SOMERVILLE WAY, PLANO, TX 75025-4185
(469) 288-5069
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
01/27/2026
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