Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. EBONY TAMU JACKSON, CLTC, CHHA, CCNA
Active Sole ProprietorSpecialist · TULSA, OK
Registration Details
- NPI Number
- 1588328637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 25, 2021 (4.4994919746984 yrs)
- Last Updated
- Oct 25, 2021
- Licenses
-
37V954550119 (OK)37V954560119 (OK)37V954550119 (OK)37V954550119 (OK)37V954550119 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5930 E 31ST ST STE 550TULSA, OK, 741355121Browse OK providers · Browse ZIP 74135
- Phone
- 9183139591
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- In Home Supportive Care Agency
- Additional Specialty
- Gerontological Clinical Nurse Specialist
- Additional Specialty
- Long-Term Care Clinical Nurse Specialist
- Additional Specialty
- Specialist
Other Specialist Providers in TULSA, OK
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES BISHOP LOCKHART JR. | M.D. | 1578568275 |
| ROBERT E LYNCH | M.D. | 1902876451 |
| AJAY R BEDEKAR | M.D. | 1962478024 |
| JONIS CHATZIGIANNIDIS | LPED, DOMP, MT | 1992772917 |
| PATRICIA E LODES | M. D. | 1356300800 |
| DR. KENNETH E WIEMAR | M. D. | 1194785303 |
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.