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

Tishanna Shyriece Jackson

Individual provider Licensed Practical Nurse · NPI 1790586055

Tishanna Shyriece Jackson is a Licensed Practical Nurse in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

15507 Delrey Ave
Cleveland, OH 44128-1353
Phone: (216) 906-9791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.184064.MEDS-IV (OH)

Record details

NPI number1790586055
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2025
Last updated in NPPESMarch 22, 2025
Certification dateMarch 22, 2025

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