person
Mrs. Ebony Marie Elam, NP
Psychiatric/Mental Health Nurse Practitioner in Mentor, Ohio
NPI 1568582724

Ebony Marie Elam is a Psychiatric/Mental Health Nurse Practitioner based in Richmond Hts, OH and is specialized in Psychiatric/Mental Health. Ebony Marie Elam practices in Mentor, OH and has the professional credentials of NP. The NPI Number for Ebony Marie Elam is 1568582724 and holds a License No. F0315410 (Ohio).

The current practice location address for Ebony Marie Elam is 8701 Mentor Ave, Mentor, OH and can be reached out via phone at 440-266-0770. You can also correspond with Ebony Marie Elam through the mailing address at 522 KARL DR, RICHMOND HTS, OH - 44143-2544 (mailing address contact number: 216-799-1136).

Location: 8701 Mentor Ave, Mentor, OH, 44143-2544
person
Provider Profile Details
NPI Number
1568582724
Provider Name
Ebony Marie Elam
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
8701 Mentor Ave, Mentor, OH, 44143-2544
Phone Number
440-266-0770
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2496062 05 OH
institution
Provider Business Practice Location Address Details
Address
8701 Mentor Ave
City
State
Zip
44060-6103
Phone Number
440-266-0770
Fax Number
person
Provider Business Mailing Address Details
Address
8701 Mentor Ave
City
State
Zip
44060-6103
Phone Number
440-266-0770
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
17243 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F0315410 (Ohio)
Definition
Definition to come...
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