Fallon Jackson, Bachelor in Arts
Community Health Worker in Cleveland, OH. Individual provider (NPI-1).
NPI number1679068340
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1679068340
- Entity type
- Individual (NPI-1)
- Name
- Ms. Fallon Jackson
- Credential
- Bachelor in Arts
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2018
- Certification date
- May 1, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | OH | Yes |
Practice location
2728 Euclid Ave Ste 400Cleveland, OH 44115-2428
Phone 216-236-3028 · Fax 216-600-5197
Mailing address
2728 Euclid Ave Ste 400Cleveland, OH 44115-2428
Phone 216-236-3028
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