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

Kingsley Eboru

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1336916105

Kingsley Eboru is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Leading Healthcare Specialist, PLLC, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5501 N 19th Ave
Phoenix, AZ 85015-2450
Phone: (602) 755-8343
Fax: (602) 755-8362
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 301080 (AZ)

Record details

NPI number1336916105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 11, 2023
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Leading Healthcare Specialist, Pllc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Phoenix