Individual provider · Type 1 NPI

Ebonie Lane, NP

Nurse Practitioner · Charlotte, NC

NPI number 1972974384 Active

Practice location

1001 Blythe Blvd, Ste 300- Adult Cardiology
Charlotte, NC 28203-5866

Call (704) 373-0212 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 10650 Park Rd, Suite 220, Charlotte, NC 28210-8538 · (704) 667-3840
  • 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 · (704) 373-0212
  • 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 · (704) 403-1349
  • 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 · (704) 373-0212

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5008075 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972974384

Ebonie Lane, NP's National Provider Identifier is 1972974384, issued on Oct 12, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Feb 17, 2020.