Individual provider · Type 1 NPI

Ebony McMullin, NP

Pediatric Nurse Practitioner · Elizabethtown, KY

NPI number 1912689399 Active

Practice location

103 Financial Pl Ste 100
Elizabethtown, KY 42701-4471

Call (251) 242-1349 Map

Mailing address

1054 Wetterau Ave
Louisville, KY 40217-1554

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4004989 (KY)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1912689399

Ebony McMullin, NP's National Provider Identifier is 1912689399, issued on Aug 3, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Elizabethtown, KY. The record was last updated on Aug 3, 2023.