EBONY JACKSON
NPI 1285305359
Home Health Aide in Detroit, MI
- Individual
- Female
- Home Health Aide
About EBONY JACKSON
This page provides the complete NPI Profile along with additional information for Ebony Jackson, a provider established in Detroit, Michigan with a medical specialization in Home Health Aide. The healthcare provider is registered in the NPI registry with number 1285305359 assigned on September 2021. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1285305359 Verify this NPI
- Provider Name
- EBONY JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 19137 WOODINGHAM DR DETROIT, MI 48221
- Location Phone
- (313) 702-0410
- Mailing Address
- 19137 WOODINGHAM DR DETROIT, MI 48221
- Mailing Phone
- (313) 702-0410
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-27-2021
- Last Update Date
- 09-27-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health Aide
- Taxonomy Code
- 374U00000X
- Type
- Nursing Service Related Providers
- License State
- MI
- Taxonomy Description
- A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285305359, enumerated as an "individual" on September 27, 2021.
The provider is located at 19137 WOODINGHAM DR DETROIT, MI 48221 and the phone number is (313) 702-0410.
Home Health Aide with taxonomy code 374U00000X.