EBONY ADELE JACKSON

DOVER, DE
NPI1609693662
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: DE  L8-0010677)
Enumeration Date2024-09-23
Last Update Date2024-09-23
Business Address
EBONY ADELE JACKSON CRNP
1198 S GOVERNORS AVE STE 201
DOVER, DE 19904-6930
Phone number: 302-382-8698
Mailing Address
EBONY ADELE JACKSON CRNP
1198 S GOVERNORS AVE STE 201
DOVER, DE 19904-6930
Phone number: 302-382-8698
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