Jackson, Tawanna

Jackson, Tawanna is an individual health care provider with primary practice located at 3824 Cedar Springs Rd , Dallas TX 75219-4136. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Jackson, Tawanna can be contacted via phone (214) 555-1111.

Contact Information

Primary practice address
3824 Cedar Springs Rd Dallas TX 75219-4136
Phone: (214) 555-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 110587 Texas

Profile Details

NPI number 1619121365
LBN Legal business name Jackson, Tawanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2008
Last updated Nov 13th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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