Female

Mrs. Ebony M. Smith LPN

Licensed Practical Nurse in Fayetteville, NC(View on Map)

Full Name

Mrs. Ebony M. Smith LPN

NPI Number

1255683967

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/04/2012

Specialties

(Taxonomies)

Code

164W00000X

Primary Taxonomy

Yes

Licenses

State

New York
North Carolina

License Number

280956-1
73712

Contact
Information

Purpose

Mailing
Location

Address

328 INTERCHANGE DR
328 INTERCHANGE DR

City

Fayetteville
Fayetteville

State

NC
NC

Postal Code

28311-7417
28311-7417

Country

US
US

Telephone Number

(910) 964-5642
(910) 964-5642

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/04/2012

Provider Address

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