Individual
MRS. EBONY DENASHIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3773 62ND ST N, SAINT PETERSBURG, FL 33710-1618
(727) 768-3734
Mailing address
3773 62ND ST N, SAINT PETERSBURG, FL 33710-1618
(727) 768-3734
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9534481
FL
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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