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

Ebony McMullin, NP

Individual provider Pediatric Nurse Practitioner · NPI 1912689399

Ebony McMullin, NP is a Pediatric Nurse Practitioner in Elizabethtown, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

103 Financial Pl Ste 100
Elizabethtown, KY 42701-4471
Phone: (251) 242-1349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4004989 (KY)

Record details

NPI number1912689399
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address1054 Wetterau Ave, Louisville, KY 40217-1554

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