Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TASHEKA L JACKSON
Active Sole ProprietorTASHEKA L JACKSON is a Prosthetic/Orthotic Supplier healthcare provider located in MEMPHIS, Tennessee. NPI 1457004863 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · MEMPHIS, TN
Registration Details
- NPI Number
- 1457004863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2022 (4.5686342122435 yrs)
- Last Updated
- Jan 27, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
4204 E MALLORY AVEMEMPHIS, TN, 381117819Browse TN providers · Browse ZIP 38111
- Phone
- 9016490305
- Fax
- 6013409588
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
- Additional Specialty
- Prosthetic/Orthotic Supplier
Other Prosthetic/Orthotic Supplier Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| JACK R STEELE | CERTIFIED ORTHOTIST | 1477855922 |
| SEDRICA N BOWENS | — | 1578136180 |
| CRYSTAL HART | — | 1003645110 |
| SHANYRIAL SHARIE HOLMES | — | 1629885439 |
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.