person
Ebony Sharette Penn
Family Nurse Practitioner in Belleville, Illinois
NPI 1477137693

Ebony Sharette Penn is a Family Nurse Practitioner based in Belleville, IL and is specialized in Family. Ebony Sharette Penn practices in Belleville, IL. The NPI Number for Ebony Sharette Penn is 1477137693 and holds a License No. 209022466 (Illinois).

The current practice location address for Ebony Sharette Penn is 1720 Shadow Ridge Ct Apt H, Belleville, IL and can be reached out via phone at 618-409-3082.

Location: 1720 Shadow Ridge Ct Apt H, Belleville, IL, 62221-3914
person
Provider Profile Details
NPI Number
1477137693
Provider Name
Ebony Sharette Penn
Credential
Provider Entity Type
Individual
Gender
Female
Address
1720 Shadow Ridge Ct Apt H, Belleville, IL, 62221-3914
Phone Number
618-409-3082
Fax Number
Provider Enumeration Date
05/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 Shadow Ridge Ct Apt H
City
State
Zip
62221-3914
Phone Number
618-409-3082
Fax Number
person
Provider Business Mailing Address Details
Address
1720 Shadow Ridge Ct Apt H
City
State
Zip
62221-3914
Phone Number
618-409-3082
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209022466 (Illinois)
Definition
Definition to come...
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