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

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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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

Phone(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

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Frequently Asked Questions

What is Ebony Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1326867730, enumerated as an "individual" on October 03, 2024.

Where is the provider located?

The provider is located at 1436 WOODLAND AVE SE MASSILLON, OH 44646 and the phone number is (330) 428-8411.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.