AKENJEM EBONG MBA


Address: 1902 Country Club Dr Ste 160, Carrollton, TX 75006-5823
Phone: 2146062448

AKENJEM EBONG MBA (NPI# 1912417858) 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) 1912417858
Entity Type Individual
Full Name AKENJEM EBONG MBA
Credential NP
Practice Address 1902 Country Club Dr Ste 160
Carrollton
TX 75006-5823
Mailing Address 2411 Askew Dr
Anna
TX 75409-0179
Practice Telephone 2146062448
Mailing Telephone 4043258552
Enumeration Date 2017-10-05
Last Update Date 2017-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine AP135083 TX Allopathic & Osteopathic Physicians
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP135083 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1902 COUNTRY CLUB DR STE 160
City CARROLLTON
State TX
Zip Code 75006-5823

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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
1619583531 Tessy M. John Nurse Practitioner 1656 Audubon Ct, Carrollton, TX 75010-2145 2020-09-16
1619589769 Hyo Sook Choi Nurse Practitioner 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 2020-08-20
1861001000 Allwell Health Care Nurse Practitioner 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 2020-07-23
1114536364 Gloria Oluchi Ikonne Nurse Practitioner 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 2020-07-23
1851909717 Antoinae Hawkins Nurse Practitioner 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 2020-07-16
1770106429 Rhema Healthcare Services Nurse Practitioner 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 2020-05-28
1255968004 Eunjung Kim Nurse Practitioner 4444 Saukenuk Ln, Carrollton, TX 75010-1203 2020-03-23
1124660063 Jenna Brooke Pugh Nurse Practitioner 2160 County Road 130, Carrollton, MS 38917-5731 2019-10-11
1760023972 Amy Rowell Nurse Practitioner 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 2019-09-30
1083270557 Ray Thomas Nurse Practitioner 1033 Dame Carol Way, Carrollton, TX 75010-2357 2019-05-10
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Competitor

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City CARROLLTON
Zip Code 75006

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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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