Individual provider · Type 1 NPI

Janis D. Ebolum, APRN-BC

Family Nurse Practitioner · Shelbyville, TN

NPI number 1710985072 Active

Practice location

140 Dover St
Shelbyville, TN 37160-2776

Fax (931) 684-5860

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPN0000005513 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1710985072

Janis D. Ebolum, APRN-BC's National Provider Identifier is 1710985072, issued on Jul 11, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shelbyville, TN. The record was last updated on Jul 14, 2012.