Tanisha Johnson-Jackson

NPI 1477218113 · on the registry since 2021 · sole proprietor

Practice

Address: 7095 Clyo Rd
Centerville, OH 45459
Phone: (937) 458-5084
Fax: (937) 458-5089
Organisation at this address: Mac Anesthesia Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Also registered as: Adult Health Nurse Practitioner
Gerontology Nurse Practitioner
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-11-16

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