Ebony Sharette Penn is a family nurse practitioner in Belleville, IL. Ebony Sharette Penn NPI is 1477137693. 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:
1720 SHADOW RIDGE CT APT H
BELLEVILLE, IL
ZIP 62221-914
Phone: (618) 409-3082
The NPI 1477137693 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 5/12/2021 and was last updated on 5/12/2021.