Individual provider · Type 1 NPI

Ebony Adele Jackson, CRNP

Psychiatric/Mental Health Nurse Practitioner · Dover, DE

NPI number 1609693662 Active

Practice location

1198 S Governors Ave Ste 201
Dover, DE 19904-6930

Fax (302) 269-3800

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XL8-0010677 (DE)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609693662

Ebony Adele Jackson, CRNP's National Provider Identifier is 1609693662, issued on Sep 23, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dover, DE. The record was last updated on Sep 23, 2024.