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

Thisia Sean Jackson

Individual provider Driver · NPI 1184211864

Thisia Sean Jackson is a Driver in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
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Practice location Address checks out

2190 Ambleside Dr Apt 809
Cleveland, OH 44106-4635
Phone: (216) 609-6469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence TF813951 (OH)

Record details

NPI number1184211864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2020
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020
Mailing address2190 Ambleside Dr Apt 809, Cleveland, OH 44106-4635

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