EBONY JACKSON NPI 1356678197

NPI Information

NPI: 1356678197
Provider Name: EBONY JACKSON
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
4754 E 175TH ST
CLEVELAND, OH
ZIP 44128
Phone: (216) 856-3107
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Ebony Jackson is a licensed practical nurse in Cleveland, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Ebony Jackson NPI is 1356678197. 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:

4754 E 175TH ST
CLEVELAND, OH
ZIP 44128-932
Phone: (216) 856-3107

The enumeration date for this NPI number is 11/16/2009 and was last updated on 1/3/2011.

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	164W00000X	Licensed Practical Nurse		PN.142392	OHIO	Yes

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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