IndividualActive
Ebony Jackson, REGISTERED NURSE
NPI 1558079905 · Home Health Registered Nurse · Saint Petersburg, FL
Provider details
- NPI number
- 1558079905
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN9534481 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% 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
3773 62nd St N
Saint Petersburg, FL 33710-1618
Phone: (727) 768-3734
Street-level locationGet directions
Mailing address
3773 62nd St N
Saint Petersburg, FL 33710-1618
Registry dates
- Enumerated
- 2022-11-14
- Last updated
- 2022-11-14
- Certified
- 2022-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.