Individual provider · Type 1 NPI

Ebony T. Sallis, LPN

Licensed Practical Nurse · Laveen, AZ

NPI number 1407669344 Active

Practice location

3921 W Baseline Rd
Laveen, AZ 85339-1801

Mailing address

250 Applewood Dr Unit 3004
Lawrenceville, GA 30046-6409

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN092214 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

13 other providers at this address

Other licensed practical nurse providers in Laveen

See all in Laveen →

About NPI 1407669344

Ebony T. Sallis, LPN's National Provider Identifier is 1407669344, issued on Jan 27, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Laveen, AZ. The record was last updated on Jan 27, 2025.