Johnson, Ebonee L
Johnson, Ebonee L is an individual health care provider with primary practice located at 3795 W Boynton Beach Blvd Ste A , Boynton Beach FL 33436-4502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Ebonee L can be contacted via phone (561) 364-4840.Contact Information
Primary practice address
3795 W Boynton Beach Blvd Ste A
Boynton Beach FL 33436-4502
Phone: (561) 364-4840
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9325356 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9325356 | Florida |
Profile Details
NPI number | 1669753976 |
---|---|
LBN Legal business name | Johnson, Ebonee L |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2011 |
Last updated | Jan 18th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669753976 | NPPES |
Florida | MEDICAID | 004101900 |
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