Ebony Nechole Jackson, is a
Marriage & Family Therapist based in Adelanto, California. Ebony Nechole Jackson is licensed to practice in California (license number 122653) and her current practice location is
11424 Chamberlaine Way, Adelanto, California. She can be reached at her office (for appointments etc.) via phone at
(760) 243-0934.
NPI number for Ebony Nechole Jackson is 1205260486 and her current mailing address is 11424 Chamberlaine Way, Adelanto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205260486.
Healthcare Provider's Profile
Full Name | Ebony Nechole Jackson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 11424 Chamberlaine Way, Adelanto, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205260486
- Provider Enumeration Date: 08/24/2013
- Last Update Date: 03/28/2024
Medical Identifiers
Medical identifiers for Ebony Nechole Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205260486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 122653 (California) | 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 Nechole 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 Nechole Jackson, 11424 Chamberlaine Way, Adelanto, CA 92301-2869 Ph: (760) 243-0934 | Ebony Nechole Jackson, 11424 Chamberlaine Way, Adelanto, CA 92301-2869 Ph: (760) 243-0934 |
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