EBONY JACKSON
NPI 1356678197
Licensed Practical Nurse in Cleveland, OH

Q: What is Ebony Jackson's NPI number?

The NPI number for Ebony Jackson is 1356678197. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Q: What is Ebony Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ebony Jackson was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 16, 2009

4754 E 175TH ST, CLEVELAND, OH 44128(216) 856-3107 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ebony Jackson NPPES

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

EBONY JACKSON (NPI 1356678197) is an individual licensed practical nurse in Cleveland, Ohio, licensed in Ohio (PN.142392) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1356678197

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameEBONY JACKSON

Location Address4754 E 175TH STCleveland, OH 44128-3932

Mailing Address4754 E 175th StCleveland, OH 44128-3932 · (216) 856-3107

Phone(216) 856-3107

Sole ProprietorYes

Enumeration DateNovember 16, 2009

Last NPPES UpdateJanuary 3, 2011

✔ NPI 1356678197 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 · PN.142392

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.

4754 E 175TH ST, Cleveland, OH 44128

Open in Google Maps ↗

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 1356678197. It was assigned to this individual provider in the NPPES registry on November 16, 2009.

Where is Ebony Jackson located?

Ebony Jackson practices at 4754 E 175th St, Cleveland, OH 44128. The listed phone number is (216) 856-3107.

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 January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.