Individual provider · Type 1 NPI

Jackie Lynn Ebersole, RN

Registered Nurse · Antioch, CA

NPI number 1538347307 Active

Practice location

1605 S Francisco Ct
Antioch, CA 94509-5352

Fax (925) 813-3331

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	462648 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1538347307

Jackie Lynn Ebersole, RN's National Provider Identifier is 1538347307, issued on Feb 4, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Antioch, CA. The record was last updated on Feb 4, 2008.