Jackson, Tamara Renee

Jackson, Tamara Renee is an individual health care provider with primary practice located at 2587 Back Orrville Rd , Wooster OH 44691-9523. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jackson, Tamara Renee can be contacted via phone (330) 264-9597.

Contact Information

Primary practice address
2587 Back Orrville Rd Wooster OH 44691-9523
Phone: (330) 264-9597
Fax: (330) 264-0946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1659898351
LBN Legal business name Jackson, Tamara Renee
Credentials AAS, QMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Sep 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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