NPI 1760484372 · live from the CMS NPI Registry
Terrence L Jackson, M.D.
Internal Medicine, Gastroenterology in Germantown, TN. National Provider Identifier 1760484372, active.
NPI record
| NPI | 1760484372 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 |
| Practice phone | 901-747-3630 |
| Mailing address | Po Box 381468, Germantown, TN 38183 |
| Enumerated | August 12, 2005 |
| Last updated | February 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | 23140 (MS) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 33995 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.