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

Ebony Jackson

Individual provider Licensed Practical Nurse · NPI 1356678197

Ebony Jackson is a Licensed Practical Nurse in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009

Practice location Address checks out

4754 E 175th St
Cleveland, OH 44128-3932
Phone: (216) 856-3107
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN.142392 (OH)

Record details

NPI number1356678197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 16, 2009
Last updated in NPPESJanuary 3, 2011
Mailing address4754 E 175th St, Cleveland, OH 44128-3932

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