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Ebony Jackson
NPI 1285305359 · on the registry since 2021
Practice
- Address
- 19137 Woodingham Dr
Detroit, MI 48221 - Phone
- (313) 702-0410
Registry record
- Primary taxonomy
- Home Health Aide
374U00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-27
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 Michigan