Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Chisolm

Individual provider Other Technician · NPI 1487301446

Ebony Chisolm is an Other Technician in Jackson, Michigan. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1001 Laurence Ave Ste E
Jackson, MI 49202-2980
Phone: (517) 750-4777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2926 Woods Circle Dr Apt 1, Jackson, MI 49203-2282 — (517) 936-9414

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1487301446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 9, 2022
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address2926 Woods Circle Dr Apt 1, Jackson, MI 49203-2282

Other providers in Jackson