Individual
MS. EBONIE KANDICE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1510 N 28TH ST STE 300, RICHMOND, VA 23223-5311
(804) 225-7177
Mailing address
1510 N 28TH ST STE 300, RICHMOND, VA 23223-5311
(804) 225-7177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024198059
VA
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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