Individual
ALICE O JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3043 SUPERIOR AVE E, CLEVELAND, OH 44114-4349
(216) 307-1538
Mailing address
17325 EUCLID AVE, CLEVELAND, OH 44112-1247
(216) 202-3381
(216) 202-3767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374J00000X
Doula
—
OH
Other
Enumeration date
07/27/2023
Last updated
03/18/2026
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