Ebonie Myakee Zollicoffer

NPI #1376938209 in Sussex, Wisconsin

Provider Information

NPI Number
1376938209
Entity Type
Individual
Name
Ebonie Myakee Zollicoffer
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Mar 28, 2015
Last Updated
May 25, 2020

Practice Location

Address
N62W23334 SILVER SPRING DR
City
Sussex
ZIP Code
53089-3875
Phone
(262) 225-1163

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner - FamilyFamily

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