Jackson, Tia Mariana

Jackson, Tia Mariana is an sole proprietor health care provider with primary practice located at 2264 Center Ct N Apt 3 , Grand Island NY 14072-1745. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Jackson, Tia Mariana can be contacted via phone (716) 495-6980.

Contact Information

Primary practice address
2264 Center Ct N Apt 3 Grand Island NY 14072-1745
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1962147322
LBN Legal business name Jackson, Tia Mariana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2022
Last updated Feb 17th, 2023 - about last year

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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