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

Individual provider Customized Equipment (DME) · NPI 1457004863

Tasheka L Jackson is a Customized Equipment (DME) in Memphis, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4204 E Mallory Ave
Memphis, TN 38111-7819
Phone: (901) 649-0305
Fax: (601) 340-9588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1457004863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2022
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address4204 E Mallory Ave, Memphis, TN 38111-7819

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