Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ebony Nicole Funches, DNP, FNP-C, AG-ACNP

Individual provider Family Nurse Practitioner · NPI 1639569247

Dr. Ebony Nicole Funches, DNP, FNP-C, AG-ACNP is a Nurse Practitioner in Venice, California. Qualified in 2014, 12 years ago. Practices with Venice Family Clinic, a 102-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

604 Rose Ave
Venice, CA 90291-2767
Phone: (310) 392-8636
Fax: (310) 392-6642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 808 W 58th St, Los Angeles, CA 90037-3632 — (323) 541-1600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95002049 (CA)

Record details

NPI number1639569247
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-C , AG-ACNP
Sole proprietorYes
NPI enumeratedFebruary 3, 2015
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Venice Family Clinic — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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