Tayanna I Jackson, is a
Community Health Worker based in Cleveland Heights, Ohio. Tayanna I Jackson is licensed to practice in Ohio (license number ) and her current practice location is
2490 Lee Blvd Ste 103, Cleveland Heights, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 835-5212.
NPI number for Tayanna I Jackson is 1245716646 and her current mailing address is 2490 Lee Blvd Ste 103, Cleveland Heights, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245716646.
Healthcare Provider's Profile
Full Name | Tayanna I Jackson |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 2490 Lee Blvd Ste 103, Cleveland Heights, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245716646
- Provider Enumeration Date: 07/18/2018
- Last Update Date: 07/18/2018
Medical Identifiers
Medical identifiers for Tayanna I Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245716646 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Ohio) | Secondary |
172V00000X | Community Health Worker | (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tayanna I Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tayanna I Jackson, 2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255 Ph: (216) 835-5212 | Tayanna I Jackson, 2490 Lee Blvd Ste 103, Cleveland Heights, OH 44118-1255 Ph: (216) 835-5212 |
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