THISIA JACKSON
Driver
Active
Individual
NPI: 1184211864
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | Yes | TF813951 (OH) |
Frequently Asked Questions
NPI 1184211864 is the National Provider Identifier for THISIA JACKSON, a Driver provider located in Cleveland, OH. This NPI was enumerated on December 28, 2020.
THISIA JACKSON practices at 2190 AMBLESIDE DR APT 809, Cleveland, OH 44106.
Quick Facts
- NPI
- 1184211864
- Type
- Individual
- Enumerated
- Dec 28, 2020
- Last Updated
- Dec 28, 2020
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