Tedra Jackson

NPI 1255211447 · on the registry since 2025 · sole proprietor

Practice

Address: 782 E 130th St
Cleveland, OH 44108
Phone: (216) 334-3163
Organisation at this address: Premier Express Transport Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 3747P1801X
3747P1801X
Also registered as: 251C00000X
251X00000X
253Z00000X
332U00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio