EBONY JACKSON (NPI# 1750848800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750848800 |
| Entity Type | Individual |
| Full Name | EBONY JACKSON |
| Practice Address |
12158 Alexandra Dr Jacksonville FL 32218-8883 |
| Practice Telephone | 9045021294 |
| Mailing Telephone | 9045021294 |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1164073334 | Ebony Jackson | Pharmacy Technician | 145 Emanuel Farm Rd Lot 77, Brunswick, GA 31525-2469 | 2019-09-27 |
| 1699094326 | Ebony Marie Jackson | Licensed Practical Nurse | 39 Dunbar St, Rochester, NY 14619-2142 | 2010-05-20 |
| 1356678197 | Ebony Jackson | Licensed Practical Nurse | 4754 E 175th St, Cleveland, OH 44128-3932 | 2009-11-16 |
| 1225636582 | Ebony Jamice Jackson | Registered Nurse | 3601 Shady Timber Dr, Twinsburg, OH 44087-4945 | 2020-10-09 |
| 1568025807 | Ebony Jackson | Social Worker | 1655 Burlington Pike Ste 101, Florence, KY 41042-4909 | 2019-04-22 |
| 1639681331 | Ebony Craig Jackson | Pharmacist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-11-02 |
| 1871022699 | Ebony Jackson | Counselor | 3084 Westfork Dr Ste C, Baton Rouge, LA 70816-2254 | 2017-06-06 |
| 1477904357 | Ebony Jackson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2016-06-22 |
| 1730564279 | Ebony Conerly Jackson | Social Worker | 23791 Southpoint Dr, Denham Springs, LA 70726-6856 | 2015-07-27 |
| Street Address |
12158 ALEXANDRA DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-8883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948693 | Karen Leishman | Doula | 228 Bell Branch Ln, Jacksonville, FL 32259-5413 | 2020-07-01 |
| 1831744028 | Tara Rachel Young | Doula | 3118 Kernan Lake Cir Apt 107, Jacksonville, FL 32246-4286 | 2019-08-05 |
| 1356807051 | April D Baker | Doula | 2511 Britney Lakes Ln, Jacksonville, FL 32221-3817 | 2019-02-18 |
| 1164806816 | Bold City Doula Coalition | Doula | 1918 Willowood Dr, Jacksonville, FL 32225-2414 | 2015-07-13 |
| 1235565854 | Cloe Smith | Doula | 9220 Cypress Green Dr, Jacksonville, FL 32256-7772 | 2013-09-16 |
| 1699100743 | Danae Bunso | Doula | 12572 Highview Dr, Jacksonville, FL 32225-5724 | 2013-09-09 |
| 1912254905 | Sarah Hawkins | Doula | 8435 Brackridge Blvd S, Jacksonville, FL 32216-5413 | 2012-08-08 |
| 1962765990 | Nikomi Lynne Peltz | Doula | 326 Melissa Ray Dr, Jacksonville, FL 32225-4192 | 2012-06-25 |
| 1689973737 | Christie Gumble | Doula | 205 Baytree Dr, Jacksonville, NC 28546-9771 | 2011-03-15 |
| 1629398474 | Eva Casillas | Doula | 11243 Wyndham Hollow Ln, Jacksonville, FL 32246-8472 | 2010-06-03 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.