JANIS D EBOLUM


Address: 140 Dover St, Shelbyville, TN 37160-2776
Phone: 9316843426

JANIS D EBOLUM (NPI# 1710985072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710985072
Entity Type Individual
Full Name JANIS D EBOLUM
Credential APRN-BC
Practice Address 140 Dover St
Shelbyville
TN 37160-2776
Practice Telephone 9316843426
Practice Fax Number 9316845860
Mailing Telephone 9316843426
Mailing Fax Number 9316845860
Enumeration Date 2005-07-11
Last Update Date 2012-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN0000005513 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 4057644 01
TN 3897887 05

Office Location

Street Address 140 DOVER ST
City SHELBYVILLE
State TN
Zip Code 37160-2776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093353120 Rebecca Fetters Registered Nurse 140 Dover St, Shelbyville, TN 37160-2776 2019-12-19
1619456803 Miguel Angel Villegas Dietitian, Registered 140 Dover St, Shelbyville, TN 37160-2776 2018-08-09
1538647094 Ashley Michelle Wiseman Registered Nurse 140 Dover St, Shelbyville, TN 37160-2776 2018-08-06
1902303886 Laura Underwood Registered Nurse 140 Dover St, Shelbyville, TN 37160-2776 2018-04-09
1144744384 Elena Ruth Quinonez Public Health or Welfare 140 Dover St, Shelbyville, TN 37160-2776 2017-07-31
1730637620 Regina Holbert Nurse's Aide 140 Dover St, Shelbyville, TN 37160-2776 2016-09-20
1598212763 Cathine Tidwell Nurse's Aide 140 Dover St, Shelbyville, TN 37160-2776 2016-09-06
1265988729 Noemi Leon Dietitian, Registered 140 Dover St, Shelbyville, TN 37160-2776 2016-08-25
1992164560 Lorrie Nugent Registered Nurse 140 Dover St, Shelbyville, TN 37160-2776 2016-02-11
1235523499 Cassie Pollock Licensed Practical Nurse 140 Dover St, Shelbyville, TN 37160-2776 2015-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255821310 Middle Tennessee Support Services, LLC Community Based Residential Treatment Facility, Mental Illness 375 Uselton Road, Shelbyville, TN 37160 2018-05-15
1194224998 Stephen Blake Feldhaus Nurse Practitioner 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 2018-02-07
1285158519 Angelique Lynn Oliver Case Management 604 S. Wall St., Shelbyville, TN 37160 2017-07-28
1215476445 Acts of Kindness Home Health 213 Lane Parkway, Shelbyville, TN 37160 2017-02-21
1255727681 Nancy Elizabeth Hudson Counselor 117 Mcgrew Street, Shelbyville, TN 37160 2015-04-13
1699177956 Shelbyville Medical Group, Pllc Family Medicine 221 Lane Parkway, Shelbyville, TN 37160 2014-09-18
1154637122 Digestive Healthcare of Central Tennessee, Pllc Internal Medicine 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 2010-08-27
1871791293 Frank L Jayakody Md PC Family Medicine 1701 North Main St, Shelbyville, TN 37160 2007-07-06
1871794222 Glen Oaks, LLC Skilled Nursing Facility 1101 Glenoaks Rd, Shelbyville, TN 37160 2007-05-31
1346459385 Chamberland Dentistry PC Preferred Provider Organization 1006 Colloredo Blvd, Shelbyville, TN 37160 2007-05-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568083038 Lisa Marie Lee Nurse Practitioner 300 Northridge Dr, Shelbyville, IN 46176-8954 2020-05-06
1003475534 Melissa Marie Pritchett Nurse Practitioner 768 Friesian Ct, Shelbyville, KY 40065-7211 2019-06-09
1508347154 Kathryn Nicole Neisler Nurse Practitioner 2451 Intelliplex Dr Ste 210, Shelbyville, IN 46176-8581 2018-08-22
1649750167 Mary Elizabeth Lamb Nurse Practitioner 80 Providence Rd, Shelbyville, TN 37160-4835 2018-08-14
1194224998 Stephen Blake Feldhaus Nurse Practitioner 112 Airport Business Park Rd, Ste H, Shelbyville, TN 37160 2018-02-07
1174066013 Katherine Washburn Nurse Practitioner 311 Boone Station Rd Lot, Shelbyville, KY 40065-8673 2016-11-27
1144777335 Johanna Coursey Nurse Practitioner 6799 Frankfort Rd, Shelbyville, KY 40065-9495 2016-09-06
1104294776 Right Care, Shelbyville, LLC Nurse Practitioner 1731 N Main St, Suite F, Shelbyville, TN 37160-2372 2015-09-12
1467863613 Janell Chunn Williams Nurse Practitioner 120 Montgomery Rd, Shelbyville, TN 37160-6258 2014-05-09
1013332329 Nikki Michelle Turner Nurse Practitioner 208 Lane Pkwy, Shelbyville, TN 37160-3109 2014-02-24
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Competitor

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City SHELBYVILLE
Zip Code 37160

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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