EBONIQUE JACKS

Case Manager/Care Coordinator

Active Individual
NPI: 1255290250

Practice Address

2124 MARTIN LUTHER KING JR AVE SE
Washington, DC 20020

Phone: (313) 938-0396

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1255290250 is the National Provider Identifier for EBONIQUE JACKS, a Case Manager/Care Coordinator provider located in Washington, DC. This NPI was enumerated on January 16, 2026.
EBONIQUE JACKS practices at 2124 MARTIN LUTHER KING JR AVE SE, Washington, DC 20020.

Quick Facts

NPI
1255290250
Type
Individual
Enumerated
Jan 16, 2026
Last Updated
Jan 16, 2026

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