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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154048213

Raymond Jackson is a Student in an Organized Health Care Education/Training Program in Shaker Heights, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
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Practice location Address checks out

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone: (216) 932-2800
Fax: (216) 932-6704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence C.2507148-TRNE (OH)

Record details

NPI number1154048213
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 20, 2022
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

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