EBONY JACKSON
NPI 1285305359
Home Health Aide in Detroit, MI
About Ebony Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY JACKSON (NPI 1285305359) is an individual home health aide in Detroit, Michigan and active in the NPI registry since September 2021.
NPPES Registry Identity
Specialties & Licenses
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 1285305359. It was assigned to this individual provider in the NPPES registry on September 27, 2021.
Where is Ebony Jackson located?
Ebony Jackson practices at 19137 Woodingham Dr, Detroit, MI 48221. The listed phone number is (313) 702-0410.
What is Ebony Jackson's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Ebony Jackson was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ebony Jackson · NPI 1285305359
Home Health Aide provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since September 27, 2021.
## Identity
- **NPI:** 1285305359 (Entity type: Individual)
- **Enumerated:** September 27, 2021
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 19137 WOODINGHAM DR, Detroit, MI 48221-1650
- **Phone:** (313) 702-0410
## Record status
- **NPPES last updated:** September 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285305359) · Data from the CMS NPPES public registry.