Individual provider · Type 1 NPI
Ebony Denashia Jackson, REGISTERED NURSE
Home Health Registered Nurse · St. Petersburg, FL
NPI number
1558079905
Active
Practice location
3773 62nd St N
St. Petersburg, FL 33710-1618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | RN9534481 (FL) |
Home Health Registered Nurse: Definition to come...
Another provider at this address
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About NPI 1558079905
Ebony Denashia Jackson, REGISTERED NURSE's National Provider Identifier is 1558079905, issued on Nov 14, 2022. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 14, 2022.