NPI Profile for EBONY T JACKSON in TULSA, OK.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Gerontology |
364SG0600X | 89 | Certified Clinical Nurse Specialist | |
Health & Wellness Coach |
171400000X | |||
In Home Supportive Care |
253Z00000X | |||
Long-Term Care |
364SL0600X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1588328637 |
|
| Status | Active | |
| Credentials | CLTC, CHHA, CCNA | |
| Entity | Individual | |
| Enumeration date | 10/25/2021 | |
| Last updated | 10/25/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EBONY T JACKSON
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