Search › Ohio › 101YA0400X
Simone Jackson
NPI 1467237180 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1701 Payne Ave
Cleveland, OH 44114 - Phone
- (216) 910-9015
- Organisation at this address
- Care Alliance
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-22
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