Ebony Jackson, is a
Case Manager/care Coordinator based in Baton Rouge, Louisiana. Ebony Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3084 Westfork Dr Ste C, Baton Rouge, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(225) 296-6083.
NPI number for Ebony Jackson is 1871022699 and her current mailing address is 3084 Westfork Dr Ste C, Baton Rouge, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871022699.
Healthcare Provider's Profile
Full Name | Ebony Jackson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 3084 Westfork Dr Ste C, Baton Rouge, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871022699
- Provider Enumeration Date: 06/06/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Ebony Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871022699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ebony Jackson, 3084 Westfork Dr Ste C, Baton Rouge, LA 70816-2254 Ph: (225) 296-6083 | Ebony Jackson, 3084 Westfork Dr Ste C, Baton Rouge, LA 70816-2254 Ph: (225) 296-6083 |
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