Smith, Ebony

Smith, Ebony is an individual health care provider with primary practice located at 500 Patterson St , Lafayette LA 70501-1849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Smith, Ebony can be contacted via phone (337) 439-9983.

Contact Information

Primary practice address
500 Patterson St Lafayette LA 70501-1849
Phone: (337) 439-9983
Fax: (337) 310-1161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 07542 Louisiana

Profile Details

NPI number 1700214525
LBN Legal business name Smith, Ebony
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2013
Last updated Jun 9th, 2016 - about 8 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 1700214525 NPPES
Louisiana MEDICAID 2350706

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