Dominique Shavanta Jackson
Dominique Shavanta Jackson is a Case Manager/Care Coordinator in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
4114 E 141st StCleveland, OH 44128-1806
Phone: (216) 501-3289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence APS.005574 (OH) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Adult Companion | Taxonomy 372600000X |
| Nurse's Aide | Taxonomy 376K00000X |
Record details
| NPI number | 1689426793 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2024 |
| Last updated in NPPES | December 2, 2024 |
| Certification date | December 2, 2024 |
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