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

Ebony Jackson

Individual provider Case Manager/Care Coordinator · NPI 1134093628

Ebony Jackson is a Case Manager/Care Coordinator in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2025

Practice location Address checks out

7311 Loanda Dr
Upper Marlboro, MD 20772-4274
Phone: (202) 985-9995
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 2299105 (DC)

Record details

NPI number1134093628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 30, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

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