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Ebony Jackson
Licensed Practical Nurse in Cleveland, Ohio
NPI 1356678197

Ebony Jackson is a Licensed Practical Nurse based in Cleveland, OH. Ebony Jackson practices in Cleveland, OH. The NPI Number for Ebony Jackson is 1356678197 and holds a License No. PN.142392 (Ohio).

The current practice location address for Ebony Jackson is 4754 E 175Th St, Cleveland, OH and can be reached out via phone at 216-856-3107.

Location: 4754 E 175Th St, Cleveland, OH, 44128-3932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356678197
Provider Name
Ebony Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4754 E 175Th St, Cleveland, OH, 44128-3932
Phone Number
216-856-3107
Fax Number
Provider Enumeration Date
11/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4754 E 175Th St
City
Cleveland
State
Ohio
Zip
44128-3932
Phone Number
216-856-3107
Fax Number
person
Provider Business Mailing Address Details
Address
4754 E 175Th St
City
Cleveland
State
Ohio
Zip
44128-3932
Phone Number
216-856-3107
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN.142392 (Ohio)
Definition
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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