Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ebony Cassandra Sudduth, DNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174497721

Ebony Cassandra Sudduth, DNP, PMHNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2025, 1 year ago. Practices with Ch Specialty Services Mo LLC, a 107-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

3824 S Grand Blvd
Saint Louis, MO 63118-3412
Phone: (314) 814-8180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4352 Manchester Ave, Saint Louis, MO 63110-2138 — (314) 531-5444
  • 401 Holly Hills Ave, Saint Louis, MO 63111-2410 — (314) 353-5190

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2025041043 (MO)

Record details

NPI number1174497721
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ch Specialty Services Mo Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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