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

Festus Ebonka

Individual provider Family Nurse Practitioner · NPI 1932241007

Festus Ebonka is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
12
Licensed in
NV
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1721 E Charleston Blvd
Las Vegas, NV 89104-1902
Phone: (702) 515-9680
Fax: (702) 685-9674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN000902 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN000902 (NV)

Record details

NPI number1932241007
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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