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Active NPI 1487301446 Individual Practitioner Female Practitioner

Ebony Chisolm

Technician, Other • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Ebony Chisolm is a registered healthcare professional specializing in Technician, Other in Jackson, MI. Practice services are available at 1001 LAURENCE AVE STE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 Laurence Ave Ste E

Jackson, MI 492022980

Telephone 5177504777
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
75 Specialists

Practicing in Jackson, MI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-03-09
Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Secondary Practice Locations

2926 Woods Circle Dr Apt 1

Jackson, MI 492032282

Phone: 5179369414

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelley Yeo

Technician, Other

NPI 1003379561
Marissa Hall

Assistant Behavior Analyst

NPI 1003490319
Teresa Rodriguez-Mohr

Behavior Technician

NPI 1013797091
Kristine Godden

Behavior Technician

NPI 1013851492
Skylar Hammel

Behavior Technician

NPI 1023906401
Emma Marvin

Behavior Technician

NPI 1033045927

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2022

Registered at 1001 LAURENCE AVE STE E, JACKSON, MI 492022980 (Tel: 5177504777)

📍
Updated Business Mailing Address March 09, 2022

Registered at 2926 WOODS CIRCLE DR APT 1, JACKSON, MI 492032282

👤
Provider Name / Credentials Updated March 09, 2022

Recorded as EBONY CHISOLM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Technician, Other

🟢
Initial NPI Registration & Enumeration March 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487301446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2022
Last Update: March 09, 2022
Sole Proprietor: Yes

Mailing Address

2926 Woods Circle Dr Apt 1

Jackson, MI 492032282

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.