Individual provider · Type 1 NPI
Ebony L. Maynard-Moise, APRN
Family Nurse Practitioner · Palm Bay, FL
NPI number
1659797645
Active
Practice location
5200 Babcock St NE Ste 301
Palm Bay, FL 32905-4648
Fax (321) 766-9396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11017985 (FL) |
| Nurse Practitioner | 363L00000X | APRN11017985 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659797645
Ebony L. Maynard-Moise, APRN's National Provider Identifier is 1659797645, issued on Mar 14, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Palm Bay, FL. The record was last updated on Sep 29, 2026.