Eboni Jackson

NPI 1265229595 · on the registry since 2025

Practice

Address: 707 Sheridan Ave
Cody, WY 82414
Phone: (307) 578-2486
Fax: (307) 578-2247
Organisation at this address: Kaydee
West Park Hospital
West Park Hospital
Spirit Mountain Hospice
Cody Regional Health Ems
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 56

Additional practice sites

507 N Clark St, Powell, WY
125 S Division St, Powell, WY

Registry record

Primary taxonomy: Peer Specialist
175T00000X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming