What is Ebony Jacks's NPI number?

Ebony Jacks's National Provider Identifier (NPI) is 1104574896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ebony Jacks's specialty?

Ebony Jacks is listed in the NPPES registry with a primary specialty of Prosthetic/Orthotic Supplier (Suppliers).

Where is Ebony Jacks located?

Ebony Jacks's practice location on file with NPPES is 1011 N Arlington Ave, Indianapolis, IN 46219-3223.

What is Ebony Jacks's phone number?

The practice phone number listed in the NPPES registry for Ebony Jacks is (260) 508-6752.

Is Ebony Jacks's NPI active?

Yes — Ebony Jacks's NPI (1104574896) is active in the NPPES registry as of the last update on 2022-06-07.

IndividualActive

Ebony Jacks

NPI 1104574896 · Prosthetic/Orthotic Supplier · Indianapolis, IN

Ebony Jacks is a Prosthetic/Orthotic Supplier provider in Indianapolis, IN (NPI 1104574896).

Provider details

NPI number: 1104574896
Entity type: Individual
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Prosthetic/Orthotic SupplierPrimary335E00000X
Suppliers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1011 N Arlington Ave

Indianapolis, IN 46219-3223

Phone: (260) 508-6752

Street-level locationGet directions

Mailing address