JACKIE EZELL
NPI 1801201314
Community Health Worker in Youngstown, OH
About Jackie Ezell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE EZELL (NPI 1801201314) is a healthcare organization registered as a community health worker in Youngstown, Ohio and active in the NPI registry since June 2014. The organization lists Jackie Denese Ezell, Independent Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Jackie Ezell's NPI number?
The NPI number for Jackie Ezell is 1801201314. It was assigned to this organization in the NPPES registry on June 23, 2014.
Where is Jackie Ezell located?
Jackie Ezell is located at 516 Griffith St Unit 401, Youngstown, OH 44510. The listed phone number is (330) 787-5754.
What is Jackie Ezell's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Jackie Ezell was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.