Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dayvionne Jackson

Individual provider Health Service Psychologist · NPI 1265135354

Dayvionne Jackson is a Health Service Psychologist in Eastlake, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
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Practice location Address checks out

36260 Lake Shore Blvd Apt 201
Eastlake, OH 44095-1446
Phone: (440) 796-4482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X (OH)

Record details

NPI number1265135354
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 27, 2023
Certification dateMarch 25, 2023
Mailing address36260 Lake Shore Blvd Apt 201, Eastlake, OH 44095-1446