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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | TASHAE LAVERNE JACKSON · Tashae Jackson | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 0096613 | [sources] | |||
| First name | Tashae | [sources] | |||
| Last name | Jackson | [sources] | |||
| Middle name | LAVERNE | [sources] | |||
| NPI | 1881021384 | [sources] | |||
| Sector | 38 - Non-Agency Nurse PDN -- RN OR LPN | [sources] | |||
| Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
| Address | 1320 VALE DRIVE, APT D, AKRON, OH 44321 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
us-medoh-e210de520f0a9bbca727c6b0a3ec3962709baf36 · us-fed-excl-tashae-laverne-jackson-44321-akronFor experts: raw data explorer
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| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |