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Active NPI 1104553528 Individual Practitioner Female Practitioner

Eboni Denice Jackson , AMCA CERTIFIED TRICH

Religious Nonmedical Practitioner • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Eboni Jackson, AMCA CERTIFIED TRICH is a registered healthcare professional specializing in Religious Nonmedical Practitioner in Cincinnati, OH. Practice services are available at 19 TRIANGLE PARK DR # 1900 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19 Triangle Park Dr # 1900

Cincinnati, OH 452463416

Telephone 5133767514

Specialty Benchmarks & Practice Insights

Comparative analytics for Religious Nonmedical Practitioner in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Cincinnati, OH (19 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: 2022-08-05
Religious Nonmedical Practitioner Primary Specialty

NUCC Taxonomy Code: 374K00000X

A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active August 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2022

Registered at 19 TRIANGLE PARK DR # 1900, CINCINNATI, OH 452463416 (Tel: 5133767514)

📍
Updated Business Mailing Address August 05, 2022

Registered at 19 TRIANGLE PARK DR # 1900, CINCINNATI, OH 452463416 (Tel: 5133767514)

👤
Provider Name / Credentials Updated August 05, 2022

Recorded as EBONI JACKSON, AMCA CERTIFIED TRICH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2022

Religious Nonmedical Practitioner

🟢
Initial NPI Registration & Enumeration August 05, 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: 1104553528
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2022
Last Update: August 05, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

19 Triangle Park Dr # 1900

Cincinnati, OH 452463416

Phone: 5133767514

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.