Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Laresa A Jackson

Individual provider Nurse's Aide · NPI 1205185394

Laresa A Jackson is a Nurse's Aide in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2012

Practice location Address checks out

924 Ida Rd
Cleveland, OH 44103 Not confirmed with CMS for 14 years — call before visiting
Phone: (216) 210-1772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 400348660404 (OH)

Record details

NPI number1205185394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012

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