Ebony Sharette Penn
NPI #1477137693 in Belleville, Illinois
Provider Information
- NPI Number
- 1477137693
- Entity Type
- Individual
- Name
- Ebony Sharette Penn
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 12, 2021
- Last Updated
- May 12, 2021
Practice Location
- Address
- 1720 SHADOW RIDGE CT APT H
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-3914
- Phone
- (618) 409-3082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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