SearchNew York103K00000X

Tanesha Jackman

NPI 1992517031 · on the registry since 2025

Practice

Address
11 Parkside Ct
Brooklyn, NY 11226
Phone
(347) 227-5287

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-24

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 New York