Brown, Ebony Nicole

Brown, Ebony Nicole is an individual health care provider with primary practice located at 250 Dewey Ave , Spartanburg SC 29303-3009. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brown, Ebony Nicole can be contacted via phone (864) 585-0366.

Contact Information

Primary practice address
250 Dewey Ave Spartanburg SC 29303-3009
Phone: (864) 585-0366
Fax: (864) 585-9208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 106396 South Carolina

Profile Details

NPI number 1659430775
LBN Legal business name Brown, Ebony Nicole
Credentials BA EXP PSYCHOLOGY RN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Sep 18th, 2008 - about 17 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 1659430775 NPPES
South Carolina MEDICAID 1427168889

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