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

Ebonee Gresham, FNP

Individual provider Registered Nurse · NPI 1508279837

Ebonee Gresham, FNP is a Registered Nurse in Decatur, Georgia. Licensed in California, Georgia, Hawaii and Illinois and 2 more. Registered with an NPI since 2014.

Licensed in
CA, GA, HI, IL, NY, OR
In the registry since
2014
Specialties on file
7
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4280 Memorial Dr Ste D
Decatur, GA 30032-1216
Phone: (678) 719-5525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP232368 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 121515 (HI)
Registered Nurse Taxonomy 163W00000X · Licence 232368 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 041577002 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 202205404 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 95291307 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 924955 (NY)

Record details

NPI number1508279837
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 4, 2014
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing addressPo Box 257, Grayson, GA 30017-0005

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