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

Tomiah Jackson

Individual provider Adult Day Care Clinic/Center · NPI 1275403388

Tomiah Jackson is an Adult Day Care Clinic/Center in Wauwatosa, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
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Practice location Address checks out

4057 N Mayfair Rd
Wauwatosa, WI 53222-1101
Phone: (414) 788-1084
Fax: (862) 263-7319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Day Care Clinic/Center (primary) Taxonomy 261QA0600X · Licence 0021599 (WI)

Record details

NPI number1275403388
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

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