Active NPIIndividual provider

Ms. Ebony S Prescott, PRACTITIONER

Specialist, Prosthetics Case Management in Jacksonville, Florida

NPI Number1003383456
Practice location
3100 University Blvd S Ste 109, Jacksonville, FL 32216-2737
Fax
—
Last updated
November 2, 2023

Ebony S Prescott is a Specialist, Prosthetics Case Management based in Jacksonville, FL. Ebony S Prescott practices in Jacksonville, FL and has the professional credentials of PRACTITIONER. The NPI Number for Ebony S Prescott is 1003383456 and holds a License No. AEC-17-05264 (NY). The current practice location address for Ebony S Prescott is 3100 University Blvd S Ste 109, Jacksonville, FL 32216-2737 and can be reached out via phone at 904-846-2160.

Provider Profile Details

NPI Number
1003383456
Provider Name
Ebony S Prescott
Credential
PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
3100 University Blvd S Ste 109, Jacksonville, FL 32216-2737
Phone Number
904-846-2160
Primary Taxonomy
Specialist, Prosthetics Case Management · 1744P3200X
Sole Proprietor
No
Provider Enumeration Date
October 24, 2018
Last Update Date
November 2, 2023
Certification Date
November 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
3100 University Blvd S Ste 109
Jacksonville, FL 32216-2737
State
Florida
Zip
32216-2737
Phone Number
904-846-2160
Jacksonville, FL 32216Get directions →

Provider Business Mailing Address Details

Address
3100 University Blvd S Ste 109
Jacksonville, FL 32216-2737
City
Jacksonville
State
FL
Zip
32216-2737

License Information

License Number (1)
AEC-17-05264
License State (1)
NY
Taxonomy (1)
Specialist, Prosthetics Case Management · 1744P3200X · Primary
License Number (2)
1307683
License State (2)
FL
Taxonomy (2)
Specialist, Prosthetics Case Management · 1744P3200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Ebony S Prescott, PRACTITIONER?

The NPI number of Ms. Ebony S Prescott, PRACTITIONER is 1003383456. It was assigned on October 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Ms. Ebony S Prescott, PRACTITIONER?

Ms. Ebony S Prescott, PRACTITIONER is registered under the primary taxonomy Specialist, Prosthetics Case Management (code 1744P3200X), licensed in NY under license number AEC-17-05264.

Where does Ms. Ebony S Prescott, PRACTITIONER practice?

The practice location is 3100 University Blvd S Ste 109, Jacksonville, FL 32216-2737. The office can be reached at 904-846-2160 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003383456 directly on the NPPES registry website.

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