TISHANNA SHYRIECE JACKSON
NPI 1790586055
Licensed Practical Nurse in Cleveland, OH

Q: What is Tishanna Jackson's NPI number?

The NPI number for Tishanna Jackson is 1790586055. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Q: What is Tishanna Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tishanna Jackson was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 22, 2025

15507 DELREY AVE, CLEVELAND, OH 44128(216) 906-9791 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tishanna Shyriece Jackson NPPES

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

TISHANNA SHYRIECE JACKSON (NPI 1790586055) is an individual licensed practical nurse in Cleveland, Ohio, licensed in Ohio (LPN.184064.MEDS-IV) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1790586055

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTISHANNA SHYRIECE JACKSON

Location Address15507 DELREY AVECleveland, OH 44128-1353

Mailing Address15507 Delrey AveCleveland, OH 44128-1353 · (216) 906-9791

Phone(216) 906-9791

Sole ProprietorYes

Enumeration DateMarch 22, 2025

NPPES CertifiedMarch 22, 2025

✔ NPI 1790586055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · LPN.184064.MEDS-IV

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

15507 DELREY AVE, Cleveland, OH 44128

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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 Tishanna Jackson's NPI number?

The NPI number for Tishanna Jackson is 1790586055. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Where is Tishanna Jackson located?

Tishanna Jackson practices at 15507 Delrey Ave, Cleveland, OH 44128. The listed phone number is (216) 906-9791.

What is Tishanna Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tishanna Jackson was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.