EBONY JAMICE JACKSON RN
NPI 1225636582
Registered Nurse - Home Health in Twinsburg, OH

Active since October 09, 2020
3601 SHADY TIMBER DR, TWINSBURG, OH 44087(216) 296-4817 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebony Jamice Jackson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY JAMICE JACKSON RN (NPI 1225636582) is an individual home health provider in Twinsburg, Ohio, licensed in Ohio (RN.346657) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1225636582
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameEBONY JAMICE JACKSONCredential: RN
Location Address3601 SHADY TIMBER DRTwinsburg, OH 44087-4945
Mailing Address3601 Shady Timber DrTwinsburg, OH 44087-4945 · (216) 296-4817
Sole ProprietorYes
Enumeration DateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
NPI 1225636582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License Licensed in OH · RN.346657
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License RN.346657 (OH)
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License RN.346657 (OH)
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN.346657 (OH)
3601 SHADY TIMBER DR, Twinsburg, OH 44087

Other Names 1

Former Name (1)Ebony Jamice Hall

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
3601 SHADY TIMBER DR
TWINSBURG, OH 44087

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Jackson's NPI number?

The NPI number for Ebony Jackson is 1225636582. It was assigned to this individual provider in the NPPES registry on October 9, 2020. The provider is also known as Ebony Jamice Hall.

Where is Ebony Jackson located?

Ebony Jackson practices at 3601 Shady Timber Dr, Twinsburg, OH 44087. The listed phone number is (216) 296-4817.

What is Ebony Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Ebony Jackson was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.