Individual provider · Type 1 NPI
Ebony Tamu Jackson, CLTC, CHHA, CCNA
Specialist · Tulsa, OK
NPI number
1588328637
Active
Practice location
5930 E 31st St Ste 550
Tulsa, OK 74135-5121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | 37V954550119 (OK) |
| In Home Supportive Care Agency | 253Z00000X | 37V954560119 (OK) |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 37V954550119 (OK) |
| Long-Term Care Clinical Nurse Specialist | 364SL0600X | 37V954550119 (OK) |
| Specialist Primary | 174400000X | 37V954550119 (OK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1588328637
Ebony Tamu Jackson, CLTC, CHHA, CCNA's National Provider Identifier is 1588328637, issued on Oct 25, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tulsa, OK. The record was last updated on Oct 25, 2021.