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

Individual provider Other Technician · NPI 1639527112

Tanya L Jackson, ABATECHNICIAN is an Other Technician in Benton Harbor, Michigan. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

1220 Pearl St
Benton Harbor, MI 49022-5539
Phone: (269) 252-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1639527112
Entity typeIndividual (Type 1)
GenderFemale
Credentials ABATECHNICIAN
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESMay 25, 2016

Other providers in Benton Harbor