DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TANISHA JACKSON

Active Sole Proprietor

MS. TANISHA JACKSON is a Case Manager healthcare provider located in LAGRANGE, Georgia. NPI 1407311509 is currently active in the NPPES registry. Verify at CMS.

Case Manager · LAGRANGE, GA

Registration Details

NPI Number
1407311509
Provider Type
Individual
Gender
Female
NPI Issued
Feb 4, 2019 (7.3469962195895 yrs)
Last Updated
Feb 4, 2019
Sole Proprietor
Yes

Practice Information

Address
1271 HOGANSVILLE RD APT 115
LAGRANGE, GA, 302416667
Browse GA providers · Browse ZIP 30241
Phone
3346461574
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in LAGRANGE, GA

Name Credential NPI
TERRI ANGELA GRIFFIN JONES BS 1780144253
LAUREN BEAVER 1255995593
MARIANA GARCIA 1760023915
FORREST JOHNSON 1134767361
MISS KATIE KINSEY PP, BS 1821636846
AMY MELISSA WARE PP 1922674191
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.