EBONI HART CRNP NPI 1205398633

NPI Information

  • NPI: 1205398633
  • Provider Name: EBONI HART, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 PHYSICIANS DR STE A
    MUSCLE SHOALS, AL
    ZIP 35661
  • Phone: (256) 286-4026

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NPI Details

Eboni Hart, CRNP is a family nurse practitioner in Muscle Shoals, AL with 8 years of experience. Eboni Hart, CRNP NPI is 1205398633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

102 PHYSICIANS DR STE A
MUSCLE SHOALS, AL
ZIP 35661-149
Phone: (256) 286-4026

The NPI 1205398633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2019 and was last updated on 9/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1-129502ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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