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

Ebony Chatmon

Individual provider Gerontology Nurse Practitioner · NPI 1578297313

Ebony Chatmon is a Nurse Practitioner in Willow Grove, Pennsylvania. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
6
Licensed in
FL, PA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

1001 Easton Rd Ste 104
Willow Grove, PA 19090-2037
Phone: (267) 403-1475
Fax: (877) 866-2051
Show map & directions

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

Additional practice locations (1)

  • 376 2nd Street Pike, Southampton, PA 18966-3834 — (215) 315-8665

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP023351 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN11017838 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence PMH04250056 (PA)

Record details

NPI number1578297313
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2022
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing addressPo Box, Glenside, PA 19038-2514

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Willow Grove