Ebony Sharette Penn
Ebony Sharette Penn is a Family Nurse Practitioner in Belleville, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
1720 Shadow Ridge Ct Apt HBelleville, IL 62221-3914
Phone: (618) 409-3082
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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 209022466 (IL) |
|---|
Record details
| NPI number | 1477137693 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 12, 2021 |
| Last updated in NPPES | May 12, 2021 |
| Certification date | May 12, 2021 |
| Mailing address | 1720 Shadow Ridge Ct Apt H, Belleville, IL 62221-3914 |
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