EBONY S JACKSON
NPI 1326867730
Licensed Practical Nurse in Massillon, OH

Active since October 03, 2024
1436 WOODLAND AVE SE, MASSILLON, OH 44646(330) 428-8411 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebony S Jackson NPPES

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

EBONY S JACKSON (NPI 1326867730) is an individual licensed practical nurse in Massillon, Ohio, licensed in Ohio (187518) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1326867730
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameEBONY S JACKSON
Location Address1436 WOODLAND AVE SEMassillon, OH 44646-8168
Mailing Address1436 Woodland Ave SeMassillon, OH 44646-8168 · (330) 428-8411
Sole ProprietorYes
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
NPI 1326867730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · 187518
Definition
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.
1436 WOODLAND AVE SE, Massillon, OH 44646

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 1326867730. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Ebony Jackson located?

Ebony Jackson practices at 1436 Woodland Ave SE, Massillon, OH 44646. The listed phone number is (330) 428-8411.

What is Ebony Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ebony Jackson was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.