EBONY JACKSON

Case Manager/Care Coordinator

Active Individual
NPI: 1669177499

Practice Address

1818 NEW YORK AVE NE
Washington, DC 20002

Phone: (202) 269-2401

Specialties

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

Frequently Asked Questions

NPI 1669177499 is the National Provider Identifier for EBONY JACKSON, a Case Manager/Care Coordinator provider located in Washington, DC. This NPI was enumerated on April 3, 2023.
EBONY JACKSON practices at 1818 NEW YORK AVE NE, Washington, DC 20002.

Quick Facts

NPI
1669177499
Type
Individual
Enumerated
Apr 3, 2023
Last Updated
Jul 11, 2023

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