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Tiffany Jackson
NPI 1992046734 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4746 Walford Rd Apt 2
Warrensville Heights, OH 44128 - Phone
- (216) 210-0536
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
- 2013-03-04
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