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EBONY CHISOLM
NPI 1487301446
Technician, Other in Jackson, MI

Active since March 09, 2022
1001 LAURENCE AVE STE E, JACKSON, MI 49202(517) 750-4777 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebony Chisolm NPPES

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

EBONY CHISOLM (NPI 1487301446) is an individual technician, other provider in Jackson, Michigan and active in the NPI registry since March 2022. She maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1487301446
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameEBONY CHISOLM
Location Address1001 LAURENCE AVE STE EJackson, MI 49202-2980
Mailing Address2926 Woods Circle Dr Apt 1Jackson, MI 49203-2282
Phone(517) 750-4777
Sole ProprietorYes
Enumeration DateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
✔ NPI 1487301446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1001 LAURENCE AVE STE E, Jackson, MI 49202
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Secondary Practice Location 1

Location 12926 Woods Circle Dr Apt 1Jackson, MI 49203-2282 · Phone (517) 936-9414

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINE ADELE GODDEN
Behavior Technician
1001 LAURENCE AVE STE E
JACKSON, MI 49202
Jackson County (517) 750-4777
EMMA MARVIN
Behavior Technician
1001 LAURENCE AVE STE E
JACKSON, MI 49202
Jackson County (517) 750-4777
SHAKYLA MARKS
Behavior Technician
1001 LAURENCE AVE STE E
JACKSON, MI 49202
Jackson County (517) 750-4777
MONICA MICHELLE HOLLAND CCC-SLP
Speech-Language Pathologist
1001 LAURENCE AVE STE E
JACKSON, MI 49202
Jackson County (517) 750-4777
KEESHA MARIE MARSH
Technician, Other
1001 LAURENCE AVE STE E
JACKSON, MI 49202
Jackson County (517) 750-4777
RACHEL BEATTY
Technician, Other
1001 LAURENCE AVE STE E
JACKSON, MI 49202
Jackson County (517) 750-4777
KERRI FOUST
Behavior Technician
1001 LAURENCE AVE STE E
JACKSON, MI 49202
Jackson County (517) 750-4777
ELIZABETH ANN BROWN
Behavior Technician
1001 LAURENCE AVE STE E
JACKSON, MI 49202
Jackson County (517) 750-4777

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 Chisolm's NPI number?

The NPI number for Ebony Chisolm is 1487301446. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Ebony Chisolm located?

Ebony Chisolm practices at 1001 Laurence Ave Ste E, Jackson, MI 49202. The listed phone number is (517) 750-4777.

What is Ebony Chisolm's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Ebony Chisolm was last updated on March 9, 2022. 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.