Search › Texas › 172V00000X
Ebony Jackson, CHW INSTRUCTOR
NPI 1336749597 · on the registry since 2020
Practice
- Address
- 11510 Homestead Rd Ste 295
Houston, TX 77016 - Phone
- (713) 816-1629
- Organisation at this address
- Parker Place Cpw
New Wave Evolution Llc
Cdj Caring Does Justice FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 103K00000X
171M00000X
174H00000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-09
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 Texas