Individual provider · Type 1 NPI

Laura Anne Ebener, PA-C

Medical Physician Assistant · Jacksonville, FL

NPI number 1457332686 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (904) 953-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9101656 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1457332686

Laura Anne Ebener, PA-C's National Provider Identifier is 1457332686, issued on Nov 5, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2026.