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

Miss. Ebony Marie Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1699094326

Miss. Ebony Marie Jackson, LPN is a Licensed Practical Nurse in Rochester, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

39 Dunbar St
Rochester, NY 14619-2142
Phone: (585) 789-0302
Fax: (585) 341-2365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 299869-1 (NY)

Record details

NPI number1699094326
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedMay 20, 2010
Last updated in NPPESMay 20, 2010

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