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

Tracy Marie Jackson

Individual provider Contractor · NPI 1396604450

Tracy Marie Jackson is a Contractor in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2026

Practice location Address checks out

1658 Catalpa Rd
Cleveland, OH 44112-1007
Phone: (216) 403-7276
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 72652084 (OH)

Record details

NPI number1396604450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address1658 Catalpa Rd, Cleveland, OH 44112-1007

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