Jackson, Ebony Tamu

Jackson, Ebony Tamu is an sole proprietor health care provider with primary practice located at 5930 E 31St St Ste 550 , Tulsa OK 74135-5121. She recently has 4 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Jackson, Ebony Tamu can be contacted via phone (918) 313-9591.

Contact Information

Primary practice address
5930 E 31St St Ste 550 Tulsa OK 74135-5121
Phone: (918) 313-9591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X 37V954560119 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 37V954550119 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Long-Term Care 364SL0600X 37V954550119 Oklahoma
Other Service Providers / Specialist 174400000X 37V954550119 Oklahoma

Profile Details

NPI number 1588328637
LBN Legal business name Jackson, Ebony Tamu
Credentials CLTC, CHHA, CCNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2021
Last updated Oct 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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