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

Mrs. Ebony Anna Edouard, FNP

Individual provider Family Nurse Practitioner · NPI 1114482452

Mrs. Ebony Anna Edouard, FNP is a Nurse Practitioner in Bronx, New York. Qualified in 2017, 9 years ago. Practices with Che Senior Psychological Services, PC, a 224-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

529 Courtlandt Ave
Bronx, NY 10451-5007
Phone: (718) 542-0255
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 349869 (NY)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 629854 (NY)

Record details

NPI number1114482452
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 31, 2019
Last updated in NPPESDecember 22, 2022
Certification dateJuly 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Che Senior Psychological Services, Pc — 224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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