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Tanaja Jackson

NPI 1245180678 · on the registry since 2026 · sole proprietor

Practice

Address
3302 Fowlerave
Omaha, NE 68111
Phone
(402) 609-9729

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-03

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 Nebraska