person
Shasta Leann Ebert
Family Nurse Practitioner in Mooresville, North Carolina
NPI 1093069627

Shasta Leann Ebert is a Family Nurse Practitioner based in Charlotte, NC and is specialized in Family. Shasta Leann Ebert practices in Mooresville, NC. The NPI Number for Shasta Leann Ebert is 1093069627 and holds a License No. 5005908 (North Carolina).

The current practice location address for Shasta Leann Ebert is 125 Days Inn Dr, Mooresville, NC and can be reached out via phone at 704-660-9111 and via fax at 704-663-4504.

Location: 125 Days Inn Dr, Mooresville, NC, 28216-2662
person
Provider Profile Details
NPI Number
1093069627
Provider Name
Shasta Leann Ebert
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 Days Inn Dr, Mooresville, NC, 28216-2662
Phone Number
704-660-9111
Fax Number
704-663-4504
Provider Enumeration Date
11/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
125 Days Inn Dr
City
State
Zip
28117-6323
Phone Number
704-660-9111
Fax Number
704-663-4504
person
Provider Business Mailing Address Details
Address
125 Days Inn Dr
City
State
Zip
28117-6323
Phone Number
704-660-9111
Fax Number
704-663-4504
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5005908 (North Carolina)
Definition
Definition to come...
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