Search › Ohio › 172A00000X
Thisia Jackson
NPI 1184211864 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2190 Ambleside Dr Apt 809
Cleveland, OH 44106 - Phone
- (216) 609-6469
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio