MISS EBONY MARIE JACKSON (NPI# 1699094326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699094326 |
| Entity Type | Individual |
| Full Name | MISS EBONY MARIE JACKSON |
| Credential | LPN |
| Practice Address |
39 Dunbar St Rochester NY 14619-2142 |
| Practice Telephone | 5857890302 |
| Practice Fax Number | 5853412365 |
| Mailing Telephone | 5857890302 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 299869-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1750848800 | Ebony Jackson | Doula | 12158 Alexandra Dr, Jacksonville, FL 32218-8883 | 2019-02-25 |
| 1356678197 | Ebony Jackson | Licensed Practical Nurse | 4754 E 175th St, Cleveland, OH 44128-3932 | 2009-11-16 |
| 1225636582 | Ebony Jamice Jackson | Registered Nurse | 3601 Shady Timber Dr, Twinsburg, OH 44087-4945 | 2020-10-09 |
| 1568025807 | Ebony Jackson | Social Worker | 1655 Burlington Pike Ste 101, Florence, KY 41042-4909 | 2019-04-22 |
| 1639681331 | Ebony Craig Jackson | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-11-02 |
| 1871022699 | Ebony Jackson | Counselor | 3084 Westfork Dr Ste C, Baton Rouge, LA 70816-2254 | 2017-06-06 |
| 1477904357 | Ebony Jackson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2016-06-22 |
| 1730564279 | Ebony Conerly Jackson | Social Worker | 23791 Southpoint Dr, Denham Springs, LA 70726-6856 | 2015-07-27 |
| Street Address |
39 DUNBAR ST |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14619-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910430 | Cotton Blue Medical Transportation | Non-emergency Medical Transport (VAN) | 1035 Genesee Park Blvd, Rochester, NY 14619 | 2019-09-04 |
| 1700342714 | Shalom Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 84 Penhurst St, Rochester, NY 14619 | 2019-02-14 |
| 1639656689 | Dl Nursing Services | Licensed Practical Nurse | 116 Kingsboro Rd, Rochester, NY 14619 | 2018-07-23 |
| 1790206720 | Albert Tomlin Jr. | Driver | 121 Aberdeen St, Rochester, NY 14619 | 2017-06-29 |
| 1760915995 | Irie Transportation Associated | Taxi | 8-b Bradburn St, Rochester, NY 14619 | 2017-04-05 |
| 1902265366 | Trifena Browning | Licensed Practical Nurse | 167 Normandy Ave, Rochester, NY 14619 | 2016-02-15 |
| 1144663154 | Lehana Doctor | Social Worker | 107 Norris Drive, Suite D, Rochester, NY 14619 | 2013-04-09 |
| 1003190745 | Tanis Sharon Bridges | Registered Nurse | 261 Elmdorf Avenue, Rochester, NY 14619 | 2011-09-29 |
| 1386965853 | Pelecia Bordeaux | Licensed Practical Nurse | 340 Thurston Rd, Rochester, NY 14619 | 2010-06-18 |
| 1083933477 | Antoniece Keyonia-renee Poole | Licensed Practical Nurse | 77 Ringle St., Rochester, NY 14619 | 2010-05-25 |
| Find all providers in zip 14619 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1992305775 | Sharee Walker | Licensed Practical Nurse | 145 Atlantic Ave, Rochester, NY 14607-1205 | 2020-10-29 |
| 1932708401 | Tatyanna Greene | Licensed Practical Nurse | 160 Calm Lake Cir Apt C, Rochester, NY 14612-2512 | 2020-10-25 |
| 1750989158 | Toni Foster | Licensed Practical Nurse | 72 Melrose St, Rochester, NY 14619-1802 | 2020-10-16 |
| 1861090474 | Jovon C Johnson | Licensed Practical Nurse | 24 Alfie Dr, Rochester, NY 14623-3602 | 2020-10-15 |
| 1124626031 | Heavenlee Joy Henderson | Licensed Practical Nurse | 61 Farleigh Ave, Rochester, NY 14606-2007 | 2020-10-13 |
| 1245838259 | Sherree Daniella Holloway | Licensed Practical Nurse | 156 Normandy Ave, Rochester, NY 14619-1132 | 2020-10-12 |
| 1912505173 | Robin R Graham | Licensed Practical Nurse | 70 Devon Rd, Rochester, NY 14619-2402 | 2020-10-10 |
| 1568060705 | Jasmine Daja Shannay Vick | Licensed Practical Nurse | 619 Arnett Blvd, Rochester, NY 14619-1308 | 2020-10-10 |
| 1790383925 | Nikki Pickett | Licensed Practical Nurse | 118 Hazelwood Ter, Rochester, NY 14609-5133 | 2020-10-10 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.