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Tracy Jackson
NPI 1396604450 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1658 Catalpa Rd
Cleveland, OH 44112 - Phone
- (216) 403-7276
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-17
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