Individual provider · Type 1 NPI
Akenjem Ebong MBA, NP
Family Nurse Practitioner · Carrollton, TX
NPI number
1912417858
Active
Practice location
1902 Country Club Dr Ste 160
Carrollton, TX 75006-5823
Mailing address
2411 Askew Dr
Anna, TX 75409-0179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP135083 (TX) |
| Family Medicine Physician | 207Q00000X | AP135083 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1912417858
Akenjem Ebong MBA, NP's National Provider Identifier is 1912417858, issued on Oct 5, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carrollton, TX. The record was last updated on Oct 12, 2017.