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

Nicole Ebalo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073193546

Nicole Ebalo is a Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1638 Owen Dr
Fayetteville, NC 28304
Phone: (910) 615-4000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073193546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 9, 2021
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

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