Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE SHAVANTA JACKSON
Active Sole ProprietorDOMINIQUE SHAVANTA JACKSON is a Peer Specialist healthcare provider located in CLEVELAND, Ohio. NPI 1689426793 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · CLEVELAND, OH
Registration Details
- NPI Number
- 1689426793
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2024 (2.3601998514378 yrs)
- Last Updated
- Dec 2, 2024
- License
-
APS.005574 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4114 E 141ST STCLEVELAND, OH, 441281806Browse OH providers · Browse ZIP 44128
- Phone
- 2165013289
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Adult Companion
- Additional Specialty
- Nurse's Aide
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in CLEVELAND, OH
| Name | Credential | NPI |
|---|---|---|
| MS. DESIREE D REID | — | 1659785798 |
| LALESCIA LAVONE HURT | PEER SUPPORT SPECIAL | 1073069563 |
| WILLIETTE POWELL | LICDC | 1043758907 |
| MR. JOHNNIE CHRISTIAN | CDCA PEER SUPPORT | 1578002499 |
| SHAWN HARDY | CDCA | 1356854574 |
| KIMBERLY ANN SMITH | CPST | 1912413006 |
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.