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MRS. TANISHA A JOHNSON-JACKSON
NPI 1477218113
Nurse Practitioner in Centerville, OH

Active since November 08, 2021
7095 CLYO RD, CENTERVILLE, OH 45459(937) 458-5084(937) 458-5089 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2021, Nov 8, 2021 (2 updates tracked since 2021).

About Mrs. Tanisha A Johnson-jackson NPPES

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

MRS. TANISHA A JOHNSON-JACKSON (NPI 1477218113) is an individual nurse practitioner in Centerville, Ohio, licensed in Ohio (APRN.CNP.026724) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1477218113
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TANISHA A JOHNSON-JACKSON
Location Address7095 CLYO RDCenterville, OH 45459-4816
Mailing Address1755 Fallbrook LnCincinnati, OH 45240-1011
Phone(937) 458-5084
Fax(937) 458-5089
Sole ProprietorYes
Enumeration DateNovember 8, 2021
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
✔ NPI 1477218113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.026724
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.026724 (OH)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN.CNP.062724 (OH)
7095 CLYO RD, Centerville, OH 45459
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARAGON WOMEN'S CARE, INC.
Obstetrics & Gynecology
7095 CLYO RD
DAYTON, OH 45459
Montgomery County (937) 433-8212
DR. JEREMY MICHAEL GROLL MD
Obstetrics & Gynecology (Reproductive Endocrinology)
7095 CLYO RD
CENTERVILLE, OH 45459
Montgomery County (937) 458-5084
MAC ANESTHESIA SERVICES, LLC
Nurse Anesthetist, Certified Registered
7095 CLYO RD
CENTERVILLE, OH 45459
Montgomery County (937) 458-5084
JULIE S. CUY CASTELLANOS NP
Nurse Practitioner (Women's Health)
7095 CLYO RD
CENTERVILLE, OH 45459
Montgomery County (937) 458-5084
TALIA ROSE COLLINS CNP
Nurse Practitioner (Family)
7095 CLYO RD
CENTERVILLE, OH 45459
Montgomery County (937) 458-5084

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 Tanisha Johnson-jackson's NPI number?

The NPI number for Tanisha Johnson-jackson is 1477218113. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Tanisha Johnson-jackson located?

Tanisha Johnson-jackson practices at 7095 Clyo Rd, Centerville, OH 45459. The listed phone number is (937) 458-5084.

What is Tanisha Johnson-jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Tanisha Johnson-jackson accept?

Health plans from MedMutual list Tanisha Johnson-jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanisha Johnson-jackson was last updated on November 16, 2021. 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.