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Tishanna Jackson
NPI 1790586055 · on the registry since 2025 · sole proprietor
Practice
- Address
- 15507 Delrey Ave
Cleveland, OH 44128 - Phone
- (216) 906-9791
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-22
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