National Provider Identifier
Ebony Marie Jackson, LPN
Ebony Marie Jackson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 789-0302.
Profile Overview
- NPI
- 1699094326
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 20, 2010
- Last Updated
- May 20, 2010
Practice Location
- 39 Dunbar St
- Rochester, NY 14619-2142
Phone: (585) 789-0302
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1699094326
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Ebony
- Middle Name
- Marie
- Name Prefix
- Miss
- Credential
- LPN
- Mailing Street Address
- 39 Dunbar St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2142
- Mailing Country
- US
- Mailing Phone
- (585) 789-0302
- Practice Street Address
- 39 Dunbar St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2142
- Practice Country
- US
- Practice Phone
- (585) 789-0302
- Practice Fax
- (585) 341-2365
- Enumeration Date
- May 20, 2010
- Last Updated
- May 20, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)