Individual provider · Type 1 NPI
Ebony Dominaque Carter, NP-C
Gerontology Nurse Practitioner · Shaker Heights, OH
NPI number
1770905226
Active
Practice location
3435 Lee Rd
Shaker Heights, OH 44120-3649
Fax (216) 752-9080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN.413108 (OH) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN.CNP.0027466 (OH) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0027466 (OH) |
| Licensed Practical Nurse | 164W00000X | PN138244 (OH) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
Other gerontology nurse practitioner providers in Shaker Heights
About NPI 1770905226
Ebony Dominaque Carter, NP-C's National Provider Identifier is 1770905226, issued on Jan 16, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shaker Heights, OH. The record was last updated on Feb 10, 2026.