Ebersole, Marisa
Ebersole, Marisa is an individual health care provider with primary practice located at 1193 Fort Campbell Blvd , Clarksville TN 37042-8880. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ebersole, Marisa can be contacted via phone (931) 648-4838.Contact Information
Primary practice address
1193 Fort Campbell Blvd
Clarksville TN 37042-8880
Phone: (931) 648-4838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 34201 | Tennessee |
Profile Details
| NPI number | 1144908260 |
|---|---|
| LBN Legal business name | Ebersole, Marisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2023 |
| Last updated | Jul 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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