Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY JACKSON
ActiveEBONY JACKSON is a Pharmacy Technician healthcare provider located in BRUNSWICK, Georgia. NPI 1164073334 is currently active in the NPPES registry. Verify at CMS.
Pharmacy Technician · BRUNSWICK, GA
Registration Details
- NPI Number
- 1164073334
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2019 (6.9073164112831 yrs)
- Last Updated
- Sep 27, 2019
- License
-
PHTC018695 (GA)
Practice Information
- Address
-
145 EMANUEL FARM RD LOT 77BRUNSWICK, GA, 315252469Browse GA providers · Browse ZIP 31525
- Phone
- 9125712850
- Primary Specialty
-
Pharmacy Technician
183700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.