Ebony Jackson, CLTC, CHHA, CCNA

NPI 1588328637 · on the registry since 2021 · sole proprietor

Practice

Address: 5930 E 31st St Ste 550
Tulsa, OK 74135
Phone: (918) 313-9591
Organisation at this address: Viola Perez Pc
Connect Dme, Llc
Bimi Science Llc
Adaptabilities, Inc.
Adaptabilities, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Specialist
174400000X
Also registered as: Health & Wellness Coach
In Home Supportive Care Agency
Gerontology Clinical Nurse Specialist
Long-Term Care Clinical Nurse Specialist
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-10-25

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 Oklahoma