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TASHEKA L JACKSON
NPI 1457004863
Prosthetic/Orthotic Supplier in Memphis, TN

Active since January 27, 2022
4204 E MALLORY AVE, MEMPHIS, TN 38111(901) 649-0305(601) 340-9588 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tasheka L Jackson NPPES

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

TASHEKA L JACKSON (NPI 1457004863) is an individual prosthetic/orthotic supplier provider in Memphis, Tennessee and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1457004863
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameTASHEKA L JACKSON
Location Address4204 E MALLORY AVEMemphis, TN 38111-7819
Mailing Address4204 E Mallory AveMemphis, TN 38111-7819 · (901) 649-0305 · Fax (601) 340-9588
Phone(901) 649-0305
Fax(601) 340-9588
Sole ProprietorYes
Enumeration DateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
✔ NPI 1457004863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
4204 E MALLORY AVE, Memphis, TN 38111
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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 Tasheka Jackson's NPI number?

The NPI number for Tasheka Jackson is 1457004863. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Tasheka Jackson located?

Tasheka Jackson practices at 4204 E Mallory Ave, Memphis, TN 38111. The listed phone number is (901) 649-0305.

What is Tasheka Jackson's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Tasheka Jackson was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.