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

Ebony T Sallis, LPN

Individual provider Licensed Practical Nurse · NPI 1407669344

Ebony T Sallis, LPN is a Licensed Practical Nurse in Laveen, Arizona. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

3921 W Baseline Rd
Laveen, AZ 85339-1801
Phone: (623) 606-7532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN092214 (GA)

Record details

NPI number1407669344
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJanuary 27, 2025
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 23, 2025

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