Jackie Lynn Ebersole, RN
Registered Nurse · Antioch, CA
Practice location
1605 S Francisco CtAntioch, CA 94509-5352
- Phone
- (925) 813-3337
- Fax
- (925) 813-3331
NPI record
- NPI
- 1538347307
- Entity type
- Individual (Type 1)
- Enumeration date
- February 4, 2008
- Last updated
- February 4, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X |
462648 | CA |
About Jackie Ebersole
Jackie Lynn Ebersole, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 1605 S Francisco Ct, Antioch, CA 94509-5352. The NPI number 1538347307 was assigned on February 4, 2008 and the record was last updated on February 4, 2008.
Jackie Ebersole lists a license in the registry: #462648 (CA) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jackie Lynn Ebersole, RN?
The NPI number is 1538347307.
What is the phone number of Jackie Ebersole?
The phone number listed for the practice location is (925) 813-3337.
Where is Jackie Ebersole located?
1605 S Francisco Ct, Antioch, CA 94509-5352.
What is the taxonomy code for Jackie Ebersole?
The primary taxonomy code is 163W00000X – Registered Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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