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

Ebony S Jackson

Individual provider Licensed Practical Nurse · NPI 1326867730

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

Licensed in
OH
In the registry since
2024

Practice location Address checks out

1436 Woodland Ave SE
Massillon, OH 44646-8168
Phone: (330) 428-8411
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 187518 (OH)

Record details

NPI number1326867730
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address1436 Woodland Ave Se, Massillon, OH 44646-8168

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