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Search › Oklahoma › 174400000X

Ebony Jackson, CLTC, CHHA, CCNA

NPI 1588328637 · on the registry since 2021 · sole proprietor

Practice

Address
5930 E 31st St Ste 550
Tulsa, OK 74135
Phone
(918) 313-9591
Organisation at this address
Viola Perez Pc
Connect Dme, Llc
Bimi Science Llc
Adaptabilities, Inc.
Adaptabilities, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
171400000X
253Z00000X
364SG0600X
364SL0600X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-25

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 Oklahoma