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Individual

EBONY JAMICE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3601 SHADY TIMBER DR, TWINSBURG, OH 44087-4945
(216) 296-4817
Mailing address
3601 SHADY TIMBER DR, TWINSBURG, OH 44087-4945
(216) 296-4817

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN.346657
OH
163WG0600X
Gerontology Registered Nurse
RN.346657
OH
163WH0200X
Home Health Registered Nurse
Primary
RN.346657
OH
163WM0705X
Medical-Surgical Registered Nurse
RN.346657
OH

Other

Enumeration date
10/09/2020
Last updated
10/09/2020
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