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Ebony Jackson
NPI 1750848800 · on the registry since 2019 · sole proprietor
Practice
- Address
- 12158 Alexandra Dr
Jacksonville, FL 32218 - Phone
- (904) 502-1294
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2019-02-25
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 Florida