Provider Type Icon

THISIA SEAN JACKSON NPI 1184211864


NPI Information

NPI: 1184211864
Provider Name: THISIA SEAN JACKSON
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
2190 AMBLESIDE DR APT 809
CLEVELAND, OH
ZIP 44106
Phone: (216) 609-6469
Get Directions

Thisia Sean Jackson is a driver in Cleveland, OH. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Thisia Sean Jackson NPI is 1184211864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2190 AMBLESIDE DR APT 809
CLEVELAND, OH
ZIP 44106-635
Phone: (216) 609-6469

The enumeration date for this NPI number is 12/28/2020 and was last updated on 12/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1172A00000XDriverTF813951OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.