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MRS. EBONY TAMU JACKSON CLTC, CHHA, CCNA
NPI 1588328637
Specialist in Tulsa, OK

Active since October 25, 2021
5930 E 31ST ST STE 550, TULSA, OK 74135(918) 313-9591 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Ebony Tamu Jackson Cltc, Chha, Ccna NPPES

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

MRS. EBONY TAMU JACKSON CLTC, CHHA, CCNA (NPI 1588328637) is an individual specialist in Tulsa, Oklahoma, licensed in Oklahoma (37V954550119) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1588328637
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. EBONY TAMU JACKSONCredential: CLTC, CHHA, CCNA
Location Address5930 E 31ST ST STE 550Tulsa, OK 74135-5121
Mailing Address5930 E 31st St Ste 550Tulsa, OK 74135-5121 · (918) 313-9591
Phone(918) 313-9591
Sole ProprietorYes
Enumeration DateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1588328637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 37V954550119
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedHealth and Wellness CoachTaxonomy 171400000X · License 37V954550119 (OK)
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 37V954560119 (OK)
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 37V954550119 (OK)
Also ListedClinical Nurse Specialist · Long-Term CareTaxonomy 364SL0600X · License 37V954550119 (OK)
5930 E 31ST ST STE 550, Tulsa, OK 74135
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1588328637. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Ebony Jackson located?

Ebony Jackson practices at 5930 E 31st St Ste 550, Tulsa, OK 74135. The listed phone number is (918) 313-9591.

What is Ebony Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ebony Jackson was last updated on October 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.