MRS. Tanisha A Johnson-Jackson
NPI #1477218113 in Centerville, Ohio
Provider Information
- NPI Number
- 1477218113
- Entity Type
- Individual
- Name
- MRS. Tanisha A Johnson-Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Nov 8, 2021
- Last Updated
- Nov 16, 2021
Practice Location
- Address
- 7095 CLYO RD
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-4816
- Phone
- (937) 458-5084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner |
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