Individual provider · Type 1 NPI
Tracy Marie Jackson
Contractor · Cleveland, OH
Practice location
1658 Catalpa Rd
Cleveland, OH 44112-1007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | 72652084 (OH) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
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About NPI 1396604450
Tracy Marie Jackson's National Provider Identifier is 1396604450, issued on Jan 15, 2026. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Cleveland, OH. The record was last updated on Feb 17, 2026.