Individual provider · Type 1 NPI

Ebony S. Jackson

Licensed Practical Nurse · Massillon, OH

NPI number 1326867730 Active

Practice location

1436 Woodland Ave SE
Massillon, OH 44646-8168

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X187518 (OH)

Licensed Practical Nurse: An individual 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.

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About NPI 1326867730

Ebony S. Jackson's National Provider Identifier is 1326867730, issued on Oct 3, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Massillon, OH. The record was last updated on Oct 3, 2024.