Ebonique Martin Buckner, NP-C
NPI #1003465352 in Ridgeland, Mississippi
Provider Information
- NPI Number
- 1003465352
- Entity Type
- Individual
- Name
- Ebonique Martin Buckner, NP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Sep 10, 2019
- Last Updated
- May 17, 2021
Practice Location
- Address
- 768 AVERY BLVD N
- City
- Ridgeland
- State
- Mississippi
- ZIP Code
- 39157-5219
- Phone
- (601) 487-6482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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