Tanika Jackson
NPI #1396238374 in Shaker Heights, Ohio
Provider Information
- NPI Number
- 1396238374
- Entity Type
- Individual
- Name
- Tanika Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 13, 2018
- Last Updated
- May 8, 2019
Practice Location
- Address
- 22001 FAIRMOUNT BLVD
- City
- Shaker Heights
- State
- Ohio
- ZIP Code
- 44118-4897
- Phone
- (216) 320-6439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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