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

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
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Practice location Address checks out

924 Ida Rd
Cleveland, OH 44103
Phone: (216) 210-1772
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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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