Johnson, Ebonee L

Johnson, Ebonee L is an individual health care provider with primary practice located at 3795 W Boynton Beach Blvd Ste A , Boynton Beach FL 33436-4502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Ebonee L can be contacted via phone (561) 364-4840.

Contact Information

Primary practice address
3795 W Boynton Beach Blvd Ste A Boynton Beach FL 33436-4502
Phone: (561) 364-4840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9325356 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9325356 Florida

Profile Details

NPI number 1669753976
LBN Legal business name Johnson, Ebonee L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Jan 18th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1669753976 NPPES
Florida MEDICAID 004101900

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