TIERRA LEANNE JACKSON TATTOO LICENSE
NPI 1366267627
Rehabilitation Practitioner in Springfield, MO

Q: What is Tierra Jackson's NPI number?

The NPI number for Tierra Jackson is 1366267627. It was assigned to this individual provider in the NPPES registry on November 20, 2024.

Q: What is Tierra Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Tierra Jackson was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2024

3322 S CAMPBELL AVE # X, SPRINGFIELD, MO 65807(417) 771-5540 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tierra Leanne Jackson Tattoo License NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIERRA LEANNE JACKSON TATTOO LICENSE (NPI 1366267627) is an individual rehabilitation practitioner in Springfield, Missouri, licensed in Missouri (2021043963) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1366267627

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameTIERRA LEANNE JACKSONCredential: TATTOO LICENSE

Location Address3322 S CAMPBELL AVE # XSpringfield, MO 65807-4980

Mailing Address3322 S Campbell Ave # XSpringfield, MO 65807-4980 · (417) 771-5540

Phone(417) 771-5540

Sole ProprietorNo

Enumeration DateNovember 20, 2024

NPPES CertifiedNovember 20, 2024

✔ NPI 1366267627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

License✔ Licensed in MO · 2021043963

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedTechnician, OtherTaxonomy 247200000X · License 2021043963 (MO)

3322 S CAMPBELL AVE # X, Springfield, MO 65807

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tierra Jackson's NPI number?

The NPI number for Tierra Jackson is 1366267627. It was assigned to this individual provider in the NPPES registry on November 20, 2024.

Where is Tierra Jackson located?

Tierra Jackson practices at 3322 S Campbell Ave # X, Springfield, MO 65807. The listed phone number is (417) 771-5540.

What is Tierra Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Tierra Jackson was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.