Individual provider · Type 1 NPI
Ebonie Myakee Zollicoffer
Family Nurse Practitioner · Sussex, WI
NPI number
1376938209
Active
Practice location
N62W23334 Silver Spring Dr
Sussex, WI 53089-3875
Mailing address
N55W21268 Logan Dr
Menomonee Falls, WI 53051-6211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 159473 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 9919 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376938209
Ebonie Myakee Zollicoffer's National Provider Identifier is 1376938209, issued on Mar 28, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sussex, WI. The record was last updated on Sep 9, 2026.