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Mrs. Tanisha A Johnson-jackson
Nurse Practitioner in Centerville, Ohio
NPI 1477218113

Tanisha A Johnson-jackson is a Nurse Practitioner based in Cincinnati, OH. Tanisha A Johnson-jackson practices in Centerville, OH. The NPI Number for Tanisha A Johnson-jackson is 1477218113 and holds a License No. APRN.CNP.026724 (Ohio).

The current practice location address for Tanisha A Johnson-jackson is 7095 Clyo Rd, Centerville, OH and can be reached out via phone at 937-458-5084 and via fax at 937-458-5089.

Location: 7095 Clyo Rd, Centerville, OH, 45240-1011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477218113
Provider Name
Tanisha A Johnson-jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
7095 Clyo Rd, Centerville, OH, 45240-1011
Phone Number
937-458-5084
Fax Number
937-458-5089
Provider Enumeration Date
11/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7095 Clyo Rd
City
Centerville
State
Ohio
Zip
45459-4816
Phone Number
937-458-5084
Fax Number
937-458-5089
person
Provider Business Mailing Address Details
Address
7095 Clyo Rd
City
Centerville
State
Ohio
Zip
45459-4816
Phone Number
937-458-5084
Fax Number
937-458-5089
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN.CNP.026724 (Ohio)
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
APRN.CNP.062724 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
APRN.CNP.026724 (Ohio)
Definition
Definition to come...
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