Individual
MS. FALLON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR IN ARTS
Contact information
Practice address
2728 EUCLID AVE STE 400, CLEVELAND, OH 44115-2428
(216) 236-3028
(216) 600-5197
Mailing address
2728 EUCLID AVE STE 400, CLEVELAND, OH 44115-2428
(216) 236-3028
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OH
Other
Enumeration date
06/26/2018
Last updated
05/01/2025
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