Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAYVIONNE JACKSON
ActiveDAYVIONNE JACKSON is a Health Service Psychologist healthcare provider located in EASTLAKE, Ohio. NPI 1265135354 is currently active in the NPPES registry. Verify at CMS.
Health Service Psychologist · EASTLAKE, OH
Registration Details
- NPI Number
- 1265135354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2023 (3.4196319278153 yrs)
- Last Updated
- Mar 27, 2023
Practice Information
- Address
-
36260 LAKE SHORE BLVD APT 201EASTLAKE, OH, 440951446Browse OH providers · Browse ZIP 44095
- Phone
- 4407964482
- Primary Specialty
-
Health Service Psychologist
103TH0100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.