Addison, Eboni Payton

Addison, Eboni Payton is an individual health care provider with primary practice located at 1101 Medical Center Blvd , Marrero LA 70072-3147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Addison, Eboni Payton can be contacted via phone (504) 347-5511.

Contact Information

Primary practice address
1101 Medical Center Blvd Marrero LA 70072-3147
Phone: (504) 347-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 212096 Louisiana

Profile Details

NPI number 1679192983
LBN Legal business name Addison, Eboni Payton
Credentials MSN APRN FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2020
Last updated Aug 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679192983 NPPES
Louisiana MEDICAID 2521799

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