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Search › Wyoming › 175T00000X

Eboni Jackson

NPI 1265229595 · on the registry since 2025

Practice

Address
707 Sheridan Ave
Cody, WY 82414
Phone
(307) 578-2486
Fax
(307) 578-2247
Organisation at this address
Kaydee
West Park Hospital
West Park Hospital
Spirit Mountain Hospice
Cody Regional Health Ems
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Additional practice sites

  • 125 S Division St, Powell, WY
  • 507 N Clark St, Powell, WY

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming