Eboni Shantelle Jackson
Peer Specialist • Cody, WY
Professional Overview & Biography Verified Profile Summary
Eboni Jackson is a registered healthcare professional specializing in Peer Specialist in Cody, WY. Practice services are available at 707 SHERIDAN AVE under active NPI credentials.
Practice Location & Contact Primary Location
707 Sheridan Ave
Cody, WY 824143409
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Cody, WY
Practicing in Cody, WY (89 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-03-05NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Practice Locations
507 N Clark St
Powell, WY 824351915
Phone: 3077547970
125 S Division St
Powell, WY 824352409
Phone: 3077547970
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
Doctor of Philosophy (Ph.D.), National Certified Counselor, Licensed Athletic Trainer, Licensed Professional Counselor
Nurse Practitioner - Family
Family Nurse Practitioner
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 707 SHERIDAN AVE, CODY, WY 824143409 (Tel: 3075782486)
Registered at 707 SHERIDAN AVE, CODY, WY 824143409 (Tel: 3075782486)
NPI status registered as active in NPPES database
Registered at 125 S DIVISION ST, POWELL, WY 824352409 (Tel: 3077547970)
Registered at PO BOX 847, POWELL, WY 824350847 (Tel: 3077547970)
Recorded as EBONI JACKSON
Peer Specialist (License #190 in WY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
707 Sheridan Ave
Cody, WY 824143409
Phone: 3075782486
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