Search › Wisconsin › 261QA0600X
Tomiah Jackson
NPI 1275403388 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4057 N Mayfair Rd
Wauwatosa, WI 53222 - Phone
- (414) 788-1084
- Fax
- (862) 263-7319
Registry record
- Primary taxonomy
- 261QA0600X
261QA0600X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-05
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 Wisconsin