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

Mrs. Ebony TAMU Jackson, CLTC, CHHA, CCNA

Individual provider Health & Wellness Coach · NPI 1588328637

Mrs. Ebony TAMU Jackson, CLTC, CHHA, CCNA is a Health & Wellness Coach in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021
Specialties on file
5

Practice location Address checks out

5930 E 31st St Ste 550
Tulsa, OK 74135-5121
Phone: (918) 313-9591
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 37V954550119 (OK)
Health & Wellness Coach Taxonomy 171400000X · Licence 37V954550119 (OK)
In Home Supportive Care Agency Taxonomy 253Z00000X · Licence 37V954560119 (OK)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 37V954550119 (OK)
Long-Term Care Clinical Nurse Specialist Taxonomy 364SL0600X · Licence 37V954550119 (OK)

Record details

NPI number1588328637
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLTC , CHHA , CCNA
Sole proprietorYes
NPI enumeratedOctober 25, 2021
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021

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