EBONY JAMICE JACKSON RN NPI 1225636582

NPI Information

  • NPI: 1225636582
  • Provider Name: EBONY JAMICE JACKSON, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 3601 SHADY TIMBER DR
    TWINSBURG, OH
    ZIP 44087
  • Phone: (216) 296-4817

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NPI Details

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
1163WC0400XRegistered NurseCase ManagementRN.346657OHIONo
2163WG0600XRegistered NurseGerontologyRN.346657OHIONo
3163WH0200XRegistered NurseHome HealthRN.346657OHIOYes
4163WM0705XRegistered NurseMedical-SurgicalRN.346657OHIONo

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: 11/21/2025

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