EBONY JAMICE JACKSON RN NPI 1225636582

NPI Information

NPI: 1225636582
Provider Name: EBONY JAMICE JACKSON, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
3601 SHADY TIMBER DR
TWINSBURG, OH
ZIP 44087
Phone: (216) 296-4817
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Ebony Jamice Jackson, RN is a home health registered nurse in Twinsburg, OH. Ebony Jamice Jackson, RN NPI is 1225636582. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3601 SHADY TIMBER DR
TWINSBURG, OH
ZIP 44087-945
Phone: (216) 296-4817

The enumeration date for this NPI number is 10/9/2020 and was last updated on 10/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	RN.346657	OHIO	No
2	163WG0600X	Registered Nurse	Gerontology	RN.346657	OHIO	No
3	163WH0200X	Registered Nurse	Home Health	RN.346657	OHIO	Yes
4	163WM0705X	Registered Nurse	Medical-Surgical	RN.346657	OHIO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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