Individual provider · Type 1 NPI

Ebonique Martin Buckner, NP-C

Family Nurse Practitioner · Ridgeland, MS

NPI number 1003465352 Active

Practice location

768 Avery Blvd N
Ridgeland, MS 39157-5219

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X903424 (MS)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1003465352

Ebonique Martin Buckner, NP-C's National Provider Identifier is 1003465352, issued on Sep 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ridgeland, MS. The record was last updated on May 17, 2021.