MISS EBONY MARIE JACKSON LPN
NPI 1699094326
Licensed Practical Nurse in Rochester, NY

Q: What is Ebony Jackson's NPI number?

The NPI number for Ebony Jackson is 1699094326. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

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 May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 20, 2010

39 DUNBAR ST, ROCHESTER, NY 14619(585) 789-0302(585) 341-2365 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Ebony Marie Jackson Lpn NPPES

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

MISS EBONY MARIE JACKSON LPN (NPI 1699094326) is an individual licensed practical nurse in Rochester, New York, licensed in New York (299869-1) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1699094326

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMISS EBONY MARIE JACKSONCredential: LPN

Location Address39 DUNBAR STRochester, NY 14619-2142

Mailing Address39 Dunbar StRochester, NY 14619-2142 · (585) 789-0302

Phone(585) 789-0302

Fax(585) 341-2365

Sole ProprietorNo

Enumeration DateMay 20, 2010

✔ NPI 1699094326 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 NY · 299869-1

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.

39 DUNBAR ST, Rochester, NY 14619

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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 1699094326. It was assigned to this individual provider in the NPPES registry on May 20, 2010.

Where is Ebony Jackson located?

Ebony Jackson practices at 39 Dunbar St, Rochester, NY 14619. The listed phone number is (585) 789-0302.

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 May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.