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Angeletta Jackson

NPI 1871451997 · on the registry since 2026 · sole proprietor

Practice

Address
1490 E 193rd St Apt 641
Euclid, OH 44117
Phone
(216) 544-2983
Clinicians at this address
2

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-15

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