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

Shasta Leann Ebert

Individual provider Family Nurse Practitioner · NPI 1093069627

Shasta Leann Ebert is a Family Nurse Practitioner in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

125 Days Inn Dr
Mooresville, NC 28117-6323
Phone: (704) 660-9111
Fax: (704) 663-4504
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 5005908 (NC)

Record details

NPI number1093069627
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2012
Last updated in NPPESJanuary 3, 2024
Certification dateMarch 10, 2022

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